Singh Amit, Ghimire Rajan
Province Hospital, Karnali Province, Surkhet, Nepal.
District Hospital, Terhathum, Nepal.
Case Rep Obstet Gynecol. 2020 Mar 16;2020:6837961. doi: 10.1155/2020/6837961. eCollection 2020.
Uterine inversion secondary to uterine pathology is a rare scenario that a gynecologist encounters. Unlike puerperal uterine inversion, it is misleading and may not always be possible to reduce to normal position without surgery. We report a case of a 35-year female with per vaginal bleeding for fifteen months with a mass-like sensation in the vaginal canal. She presented in shock and had a globular mass in the vaginal canal with the indistinct cervical os. She was resuscitated with blood transfusions and intravenous fluid. She was posted for emergency surgery where myomectomy was done vaginally, and finally, Haultain's procedure was carried out. The uterus was preserved.
继发于子宫病变的子宫内翻是妇科医生遇到的一种罕见情况。与产后子宫内翻不同,它具有误导性,而且不进行手术可能并不总是能够恢复到正常位置。我们报告一例35岁女性,阴道出血15个月,伴有阴道内肿块样感觉。她就诊时处于休克状态,阴道内有一个球形肿块,宫颈口不清晰。通过输血和静脉输液对她进行了复苏。她被安排进行急诊手术,经阴道行肌瘤切除术,最后进行了豪尔坦手术。子宫得以保留。