Puerperal inversion of one horn of a bicornuate uterus. A case report.
BACKGROUND
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.


METHODS
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.


CONCLUSIONS
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.
D000328:Adult; D005260:Female; D006801:Humans; D011644:Puerperal Disorders / Q000150:complications* / Q000601:surgery; D014591:Uterine Diseases / Q000150:complications* / Q000601:surgery; D014592:Uterine Hemorrhage / Q000209:etiology; D014599:Uterus / Q000002:abnormalities*