title: Non-puerperal inversion of the uterus caused by leiomyosarcoma: a case report and clinical management.
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.
authors.affiliation: Department of Obstetrics and Gynecology, University of Cukurova School of Medicine, Adana, Turkey. selimbuyukkurt@gmail.com
authors.forename: Selim
authors.initials: S
authors.lastname: Buyukkurt
authors.forename: Mehmet Ali
authors.initials: MA
authors.lastname: Vardar
authors.forename: Handan
authors.initials: H
authors.lastname: Zeren
authors.forename: Fatma Tuncay
authors.initials: FT
authors.lastname: Ozgunen
mesh_terms: D005260:Female; D006801:Humans; D007890:Leiomyosarcoma / Q000150:complications* / Q000473:pathology / Q000601:surgery; D008875:Middle Aged; D019687:Uterine Inversion / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D014594:Uterine Neoplasms / Q000150:complications* / Q000473:pathology / Q000601:surgery; D014599:Uterus / Q000473:pathology* / Q000601:surgery