Ollendorff D A, Kelsey R J, Fejgin M D
Department of Obstetrics and Gynecology, Northwestern University Medical Center, Chicago, Illinois, USA.
J Reprod Med. 1995 Aug;40(8):601-2.
Acute uterine inversion is a rare (1:2,500-25,000 deliveries) but potentially life-threatening obstetric complication. Uterine malformation can make it difficult to diagnose and treat this emergency.
Following a normal delivery in a nullipara, laparotomy was required to establish the diagnosis and treat an inversion of one horn of a bicornuate uterus.
Inversion of one horn of a bicornuate uterus presents a diagnostic dilemma. When physical examination reveals a palpable abdominal "fundus" and a mass protruding through the cervix in a patient who is experiencing uterine hemorrhage, the cause may be inversion of one horn of a bicornuate uterus. Laparotomy may be required for definitive diagnosis and treatment.