Omololu Olufemi M, Rabiu Kabiru A, Quadri Mustapha A, Oyedeko Muyideen O, Fatogun Yejide M
Department of Obstetrics and Gynaecology, Lagos Island Maternity Hospital Lagos, Nigeria.
Niger Postgrad Med J. 2011 Jun;18(2):158-60.
An unusual case of non-puerperal uterine inversion is presented. The patient, a 37 year old multipara who had been earlier diagnosed with uterine fibroids, subsequently developed a protrusion from the vagina having declined surgery. The mass had become necrotic and infected at the time of presentation. Uterine inversion was diagnosed clinically and further confirmed at surgery where a vaginal hysterectomy was carried out. Uterine inversion is a rare condition not encountered by most gynaecologists. Diagnosis and treatment could thus be challenging. The literature on non-puerperal uterine inversion regarding the evaluation and management is reviewed.
本文报告了一例非产褥期子宫内翻的罕见病例。患者为一名37岁经产妇，此前被诊断患有子宫肌瘤，后来在拒绝手术后阴道出现肿物。就诊时肿物已坏死并感染。临床诊断为子宫内翻，手术中进一步确诊并实施了经阴道子宫切除术。子宫内翻是一种大多数妇科医生未曾遇到过的罕见病症。因此，诊断和治疗可能具有挑战性。本文回顾了有关非产褥期子宫内翻评估和管理的文献。
