Non-puerperal uterine inversion secondary to sub-mucosal fundal fibroid: A case report

Background: Uterine inversion is the descent of uterine fundus and corpus to or through the cervix, so that the uterus is turned inside out. The non-puerperal type of uterine inversion is rare accounting for only 17% of all uterine inversion cases. Case Report: We present a case of 70 year old multiparous female who came with fibroid polyp and foul smelling discharge. Clinical findings and Ultrasonography revealed uterine inversion with fundal fibroid. Patient was treated with inject table antibiotics and local antiseptics. She was taken up for hysterectomy under spinal anaesthesia via Abdomino-perineal approach. Intra-op Myoma was resected out and uterine reposition done vaginally. It was followed by total abdominal hysterectomy with bilateral salphingo-oophorectomy. Histopathology report showed fibroid. Patient was stable post operatively and thus the case was managed successfully. Conclusion: Awareness of non-puerperal uterine inversion and its complications along with good surgical knowledge and skills will permit a successful outcome.