Cargando…

Uterine leiomyoma associated non-puerperal uterine inversion misdiagnosed as advanced cervical cancer: A case report()

INTRODUCTION: Uterine inversion is an un-common complication of parturition which often occurs in the immediate postpartum period. The chronic (non-puerperal) uterine inversion is rarer and most times tumour associated. PRESENTATION OF CASE: A 51-year old grand multiparous lady presented with a mont...

Descripción completa

Detalles Bibliográficos
Autores principales: Umeononihu, Osita Samuel, Adinma, Joseph Ifeanyi, Obiechina, Nworah J., Eleje, George Uchenna, udegbunam, Onyebuchi Izuchukwu, Mbachu, Ikechukwu Innocent
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3825982/
https://www.ncbi.nlm.nih.gov/pubmed/24091076
http://dx.doi.org/10.1016/j.ijscr.2013.08.011
_version_ 1782290859245436928
author Umeononihu, Osita Samuel
Adinma, Joseph Ifeanyi
Obiechina, Nworah J.
Eleje, George Uchenna
udegbunam, Onyebuchi Izuchukwu
Mbachu, Ikechukwu Innocent
author_facet Umeononihu, Osita Samuel
Adinma, Joseph Ifeanyi
Obiechina, Nworah J.
Eleje, George Uchenna
udegbunam, Onyebuchi Izuchukwu
Mbachu, Ikechukwu Innocent
author_sort Umeononihu, Osita Samuel
collection PubMed
description INTRODUCTION: Uterine inversion is an un-common complication of parturition which often occurs in the immediate postpartum period. The chronic (non-puerperal) uterine inversion is rarer and most times tumour associated. PRESENTATION OF CASE: A 51-year old grand multiparous lady presented with a month history of abnormal vaginal bleeding associated with offensive vaginal discharge, lower abdominal pain and dizziness. The initial evaluation suggested severe anaemia secondary to advanced cervical cancer. Examination under anaesthesia (EUA), staging and biopsy was attempted but this was however inconclusive due to profuse haemorrhage. A repeat EUA revealed chronic uterine inversion secondary to fundal submucous uterine leiomyoma. Myomectomy was done with tissue histology confirming benign uterine leiomyoma. Two weeks later, a modified Haultain's procedure was done followed by simple hysterectomy and posterior colpoperineorrhaphy. She had satisfactory recovery. DISCUSSION: This is the first reported case of chronic non-puerperal uterine inversion in our hospital. When it occurs, it is usually tumour associated with the commonest tumour being prolapsed myoma and leiomyosarcoma. The diagnosis is based on high index of suspicion. CONCLUSION: Chronic uterine inversion is a rare gynaecological condition and can be misdiagnosed as advanced cervical cancer or other causes of severe genital haemorrhage in women. A high index of suspicion is needed for its proper diagnosis. Sometimes, an EUA and biopsy was required to determine the cause here and conveniently it could be described as a “gynaecolological near miss”.
format Online
Article
Text
id pubmed-3825982
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-38259822013-11-13 Uterine leiomyoma associated non-puerperal uterine inversion misdiagnosed as advanced cervical cancer: A case report() Umeononihu, Osita Samuel Adinma, Joseph Ifeanyi Obiechina, Nworah J. Eleje, George Uchenna udegbunam, Onyebuchi Izuchukwu Mbachu, Ikechukwu Innocent Int J Surg Case Rep Article INTRODUCTION: Uterine inversion is an un-common complication of parturition which often occurs in the immediate postpartum period. The chronic (non-puerperal) uterine inversion is rarer and most times tumour associated. PRESENTATION OF CASE: A 51-year old grand multiparous lady presented with a month history of abnormal vaginal bleeding associated with offensive vaginal discharge, lower abdominal pain and dizziness. The initial evaluation suggested severe anaemia secondary to advanced cervical cancer. Examination under anaesthesia (EUA), staging and biopsy was attempted but this was however inconclusive due to profuse haemorrhage. A repeat EUA revealed chronic uterine inversion secondary to fundal submucous uterine leiomyoma. Myomectomy was done with tissue histology confirming benign uterine leiomyoma. Two weeks later, a modified Haultain's procedure was done followed by simple hysterectomy and posterior colpoperineorrhaphy. She had satisfactory recovery. DISCUSSION: This is the first reported case of chronic non-puerperal uterine inversion in our hospital. When it occurs, it is usually tumour associated with the commonest tumour being prolapsed myoma and leiomyosarcoma. The diagnosis is based on high index of suspicion. CONCLUSION: Chronic uterine inversion is a rare gynaecological condition and can be misdiagnosed as advanced cervical cancer or other causes of severe genital haemorrhage in women. A high index of suspicion is needed for its proper diagnosis. Sometimes, an EUA and biopsy was required to determine the cause here and conveniently it could be described as a “gynaecolological near miss”. Elsevier 2013-09-08 /pmc/articles/PMC3825982/ /pubmed/24091076 http://dx.doi.org/10.1016/j.ijscr.2013.08.011 Text en © 2013 The Authors http://creativecommons.org/licenses/by/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.
spellingShingle Article
Umeononihu, Osita Samuel
Adinma, Joseph Ifeanyi
Obiechina, Nworah J.
Eleje, George Uchenna
udegbunam, Onyebuchi Izuchukwu
Mbachu, Ikechukwu Innocent
Uterine leiomyoma associated non-puerperal uterine inversion misdiagnosed as advanced cervical cancer: A case report()
title Uterine leiomyoma associated non-puerperal uterine inversion misdiagnosed as advanced cervical cancer: A case report()
title_full Uterine leiomyoma associated non-puerperal uterine inversion misdiagnosed as advanced cervical cancer: A case report()
title_fullStr Uterine leiomyoma associated non-puerperal uterine inversion misdiagnosed as advanced cervical cancer: A case report()
title_full_unstemmed Uterine leiomyoma associated non-puerperal uterine inversion misdiagnosed as advanced cervical cancer: A case report()
title_short Uterine leiomyoma associated non-puerperal uterine inversion misdiagnosed as advanced cervical cancer: A case report()
title_sort uterine leiomyoma associated non-puerperal uterine inversion misdiagnosed as advanced cervical cancer: a case report()
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3825982/
https://www.ncbi.nlm.nih.gov/pubmed/24091076
http://dx.doi.org/10.1016/j.ijscr.2013.08.011
work_keys_str_mv AT umeononihuositasamuel uterineleiomyomaassociatednonpuerperaluterineinversionmisdiagnosedasadvancedcervicalcanceracasereport
AT adinmajosephifeanyi uterineleiomyomaassociatednonpuerperaluterineinversionmisdiagnosedasadvancedcervicalcanceracasereport
AT obiechinanworahj uterineleiomyomaassociatednonpuerperaluterineinversionmisdiagnosedasadvancedcervicalcanceracasereport
AT elejegeorgeuchenna uterineleiomyomaassociatednonpuerperaluterineinversionmisdiagnosedasadvancedcervicalcanceracasereport
AT udegbunamonyebuchiizuchukwu uterineleiomyomaassociatednonpuerperaluterineinversionmisdiagnosedasadvancedcervicalcanceracasereport
AT mbachuikechukwuinnocent uterineleiomyomaassociatednonpuerperaluterineinversionmisdiagnosedasadvancedcervicalcanceracasereport