title: A rare case of occult uterine inversion at an Army community hospital: a case report.
abstract: Uterine inversion is a rare occurrence in obstetrics, but it is a life-threatening complication. Most cases of inversion are caused by excessive cord traction during management of the third stage of labor. We describe a rare case of a complete uterine inversion in a 19-year-old G1P0 dependent spouse of a deployed active duty soldier. After failure of manual correction of the inversion, the patient was taken emergently to the operating room, where the inversion was successfully corrected using surgical methods. The patient required 3 units of packed red blood cells over the next 24 hours, but was discharged home in good condition on postoperative day 3. This case demonstrates the importance of a rapid diagnosis and management of uterine inversion, as it is a rare but serious complication of vaginal delivery.
authors.affiliation: Uniformed Services University of the Health Sciences, School of Medicine, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
authors.forename: Jayne R
authors.initials: JR
authors.lastname: Stevens
authors.forename: Arthur C
authors.initials: AC
authors.lastname: Wittich
mesh_terms: D000328:Adult; D004630:Emergencies; D005260:Female; D006801:Humans; D008889:Military Personnel; D014481:United States; D019687:Uterine Inversion / Q000175:diagnosis / Q000601:surgery