Non-puerperal uterine inversion in a young woman: a case report.
BACKGROUND
Uterine inversion is an uncommon complication in the non-puerperal period. Submucosal myoma is more frequently involved usually among women above 45 years old.


METHODS
A 28 year-old patient was admitted to the gynaecology emergency room in Cocody Teaching Hospital, Abidjan, Cote D'Ivoire with a large lobulated fleshy mass in the vulval area. She had been having pelvic pain, heaviness in the pelvis and bleeding per vaginam intermittently for 6 months for which she had been treated conservatively without improvement. The clinical examination was consistent with uterine inversion secondary to a mass in the fundus of the uterus. The uterus with the mass in the fundus was excised by a combined vaginal and abdominal (abdominal hysterectomy) approach. Histopathology confirmed the mass to be a sub-mucosal uterine leiomyoma. She has been followed up for 12 months without complaints.


CONCLUSIONS
We have presented a young woman with an unusual non-puerperal, total and chronic uterine inversion as a result of uterine leiomyoma managed successfully by a combined abdominal and vaginal approach.
Department of Obstetrics and Gynaecology, CHU of Cocody, Abidjan, Côte d'Ivoire.
A
A
Kouamé
Department of Obstetrics and Gynaecology, CHU of Cocody, Abidjan, Côte d'Ivoire.
S V
SV
Koffi
Department of Obstetrics and Gynaecology, CHU of Cocody, Abidjan, Côte d'Ivoire.
R
R
Adjoby
Department of Obstetrics and Gynaecology, CHU of Cocody, Abidjan, Côte d'Ivoire.
F A
FA
Diomandé
Department of Obstetrics and Gynaecology, CHU of Cocody, Abidjan, Côte d'Ivoire.
D
D
Effoh
Department of Obstetrics and Gynaecology, CHU of Cocody, Abidjan, Côte d'Ivoire.
C
C
Oussou
Department of Obstetrics and Gynaecology, CHU of Cocody, Abidjan, Côte d'Ivoire.
F
F
Kouakou
Good outcome; Hysterectomy; Submucosal leiomyoma; Uterine inversion