Ali Eram, Kumar Manisha
Senior Resident, Department of Obstetrics and Gynaecology, Lady Hardinge Medical College , New Delhi, India .
Professor, Department of Obstetrics and Gynaecology, Lady Hardinge Medical College , New Delhi, India .
J Clin Diagn Res. 2016 May;10(5):QD07-8. doi: 10.7860/JCDR/2016/18754.7856. Epub 2016 May 1.
Uterine inversion is an abnormal protrusion of internal surface of relaxed uterus through the vaginal orifice. Its causes can be broadly classified as puerperal and non-puerperal with puerperal uterine inversion more common than non-puerperal uterine inversion. Acute inversions occurring immediately, or within 24 hours post-partum are the most common type. Chronic Uterine Inversions (CUI) occurring more than four weeks after the delivery are rare identities. There differential diagnosis includes prolapsed fibroids and endometrial polyp. Chronic nature of these inversions makes the restoration of the normal position of the uterus per vaginal difficult contrary to acute inversions which can be reposited more easily. We hereby present a case of 28-year-old lady who presented with a painless vaginal mass at 6 months post-partum. She was diagnosed as a case of CUI based on clinical and sonographic examination. Inverted uterus was successfully restored through per abdominal approach. The presentation of CUI as a painless vaginal mass at delayed post-partum period is rare and therefore reported.
子宫内翻是松弛的子宫内表面经阴道口异常突出。其病因大致可分为产后和非产后两类，产后子宫内翻比非产后子宫内翻更常见。产后立即或产后24小时内发生的急性内翻是最常见的类型。分娩后四周以上发生的慢性子宫内翻（CUI）较为罕见。其鉴别诊断包括黏膜下肌瘤和子宫内膜息肉。与急性内翻相比，这些内翻的慢性性质使得经阴道恢复子宫正常位置变得困难，急性内翻更容易复位。我们在此报告一例28岁女性，她在产后6个月出现无痛性阴道肿物。根据临床和超声检查，她被诊断为CUI病例。通过经腹途径成功恢复了倒置的子宫。CUI在产后延迟期表现为无痛性阴道肿物的情况罕见，因此予以报道。
