title: Totally inverted cervix due to a huge prolapsed cervical myoma simulating chronic non-puerperal uterine inversion.
abstract: BACKGROUND
  Inversion of the uterus is an extremely rare complication of the non-puerperal period and is commonly caused by benign submucous, especially fundal, leiomyomas. A case of a totally inverted cervix due to a prolapsed huge cervical leiomyoma mimicking chronic non-puerperal uterine inversion in a perimenopausal woman is presented.
  
  
  METHODS
  A 52-year-old perimenopausal woman was admitted to our clinic with an ulcerated, necrotic, infected and swollen prolapsed mass. Gynecologic history revealed that she was advised myomectomy because of her cervical myoma 2 years ago but she refused to have an operation as she believed that her positive thoughts would shrink the myoma. Presumed diagnosis before surgery was chronic non-puerperal uterine inversion. An intraoperative diagnosis was totally inverted cervix due to a huge cervical leiomyoma. Vaginal hysterectomy without adnexectomy, was performed.
  
  
  CONCLUSIONS
  This is the first case in the literature which a totally inverted cervix due to a prolapsed huge cervical leiomyoma. Cervical fibroids can grow in perimenopausal period and in extremely rare cases can cause total cervical inversion.
authors.affiliation: Department of Obstetrics and Gynecology, Muğla Sıtkı Koçman University School of Medicine, Ankara, Turkey.
authors.forename: Nilgun
authors.initials: N
authors.lastname: Turhan
authors.affiliation: Department of Obstetrics and Gynecology, Pamukkale University School of Medicine, Denizli, Turkey; Laboratory of Reproductive Endocrinology, Brigham and Women's Hospital, Harvard Medical School, Boston, USA.
authors.forename: Serap
authors.initials: S
authors.lastname: Simavli
authors.affiliation: Department of Obstetrics and Gynecology, Turgut Ozal University School of Medicine, Ankara, Turkey.
authors.forename: Ikbal
authors.initials: I
authors.lastname: Kaygusuz
authors.affiliation: Department of Obstetrics and Gynecology, Muğla Sıtkı Koçman University School of Medicine, Ankara, Turkey. Electronic address: burcuharmandar@gmail.com.
authors.forename: Burcu
authors.initials: B
authors.lastname: Kasap
keywords: Cervical inversion; Prolapsed leiomyoma; Uterine inversion; Vaginal hysterectomy