Non-puerperal uterine inversion in association with uterine sarcoma: clinical management.
Non-puerperal uterine inversion due to uterine sarcoma is a rare entity often diagnosed at the time of surgery. Patients may present with pelvic pain, vaginal discharge, or hemodynamic shock. Clinically, the diagnosis may be suspected if there is a large vaginal mass and difficulty in palpating the cervix. Four surgical procedures have been described to manage non-puerperal uterine inversion, two by the abdominal route and two by the vaginal route. The Haultain procedure performed abdominally is preferred for uterine sarcomas as it facilitates reversion of the uterus vaginally or excision of the pedicle and removal of the prolapsed tumor vaginally. We describe a patient with this condition managed by the Haultain procedure.
Moodley
M
M
DMRC/UN Pregnancy Hypertension Research Unit, Nelson R Mandela School of Medicine, University of Natal, Durban, South Africa. gynae@nu.ac.za
Moodley
J
J
D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008875:Middle Aged; D018200:Mixed Tumor, Mullerian / Q000150:complications* / Q000188:drug therapy / Q000556:secondary / Q000601:surgery; D019687:Uterine Inversion / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology; D014594:Uterine Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D014625:Vaginal Neoplasms / Q000150:complications* / Q000188:drug therapy / Q000556:secondary / Q000601:surgery