Non-puerperal inversion of the uterus caused by leiomyosarcoma: A case report and clinical management

Authors: Buyukkurt, Selim; Vardar, Mehmet Ali¹; Zeren, Handan²; Ozgunen, Fatma Tuncay¹

Source: The Journal of Obstetrics and Gynaecology Research, Volume 33, Number 3, June 2007 , pp. 402-406(5)

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Abstract:

Uterine inversion is a rare complication of the postpartum period, but it is an even rarer complication of the non-puerperal period. A 49-year-old nulliparous woman was admitted to the hospital with the following complaints: abnormal vaginal bleeding, pain, anuria and a mass protruding from the vulva. The mass was removed by twisting and a laparotomy was required for massive bleeding due to the inversion. The diagnosis of complete inversion was made during the laparotomy. Total abdominal hysterectomy and bilateral salpingo-oophorectomy was performed and the pathological examination revealed a leiomyosarcoma. Uterine inversion in the non-puerperal period is an extremely rare event and it should be kept in mind that the cause of the inversion may be a malignant disease, like leiomyosarcoma.

Keywords: leiomyosarcoma; uterine inversion

Document Type: Research article

DOI: http://dx.doi.org/10.1111/j.1447-0756.2007.00546.x

Affiliations: 1: Departments of Obstetrics and Gynecology and 2: Pathology, University of Cukurova School of Medicine, Adana, Turkey

Publication date: 2007-06-01