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Total and acute uterine inversion after delivery: a case report
INTRODUCTION: Uterine inversion is a rare obstetric emergency that can lead to hypovolemic shock or even maternal death. There are many management strategies, but they are poorly described and dispersed in the medical literature. The purpose of this article is to describe a case of complete acute ut...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206858/ https://www.ncbi.nlm.nih.gov/pubmed/25326075 http://dx.doi.org/10.1186/1752-1947-8-347 |
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author | Leal, Rui Filipe Monteiro Luz, Rita Mano de Almeida, José Pinto Duarte, Vitorino Matos, Isabel |
author_facet | Leal, Rui Filipe Monteiro Luz, Rita Mano de Almeida, José Pinto Duarte, Vitorino Matos, Isabel |
author_sort | Leal, Rui Filipe Monteiro |
collection | PubMed |
description | INTRODUCTION: Uterine inversion is a rare obstetric emergency that can lead to hypovolemic shock or even maternal death. There are many management strategies, but they are poorly described and dispersed in the medical literature. The purpose of this article is to describe a case of complete acute uterine inversion and a review of the literature. CASE PRESENTATION: The authors describe a case of complete uterine inversion after a normal delivery with fundal placenta and without cord traction, in a 33-year-old Caucasian woman. After the diagnosis was made and after several attempts of manual correction of the inversion, the patient was taken immediately to the operating room and a laparotomy was performed. With opposing pressures in the cervical ring through the abdominal cavity and on the uterus fundus through her vagina, the inversion was resolved. An incision on the cervical ring was unnecessary. Due to incomplete detachment of the placenta the bleeding was mild. She recovered without complications and the histological examination of placenta was unremarkable. In this case, the only risk factor for uterine inversion was the fundal implantation of the placenta. CONCLUSIONS: The low incidence of uterine inversion leads to sparse experience in resolving this obstetrical emergency. The best prognosis occurs in situations where the diagnosis and maneuvers for uterine reversal are made at an early stage. The authors concluded that opposing pressures in the cervical ring through the abdominal cavity and on the uterus fundus through the vagina can resolve the inversion without the need of other surgical techniques. It is essential to keep in mind this diagnosis, and be updated about the strategies required to solve this complication. |
format | Online Article Text |
id | pubmed-4206858 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-42068582014-10-28 Total and acute uterine inversion after delivery: a case report Leal, Rui Filipe Monteiro Luz, Rita Mano de Almeida, José Pinto Duarte, Vitorino Matos, Isabel J Med Case Rep Case Report INTRODUCTION: Uterine inversion is a rare obstetric emergency that can lead to hypovolemic shock or even maternal death. There are many management strategies, but they are poorly described and dispersed in the medical literature. The purpose of this article is to describe a case of complete acute uterine inversion and a review of the literature. CASE PRESENTATION: The authors describe a case of complete uterine inversion after a normal delivery with fundal placenta and without cord traction, in a 33-year-old Caucasian woman. After the diagnosis was made and after several attempts of manual correction of the inversion, the patient was taken immediately to the operating room and a laparotomy was performed. With opposing pressures in the cervical ring through the abdominal cavity and on the uterus fundus through her vagina, the inversion was resolved. An incision on the cervical ring was unnecessary. Due to incomplete detachment of the placenta the bleeding was mild. She recovered without complications and the histological examination of placenta was unremarkable. In this case, the only risk factor for uterine inversion was the fundal implantation of the placenta. CONCLUSIONS: The low incidence of uterine inversion leads to sparse experience in resolving this obstetrical emergency. The best prognosis occurs in situations where the diagnosis and maneuvers for uterine reversal are made at an early stage. The authors concluded that opposing pressures in the cervical ring through the abdominal cavity and on the uterus fundus through the vagina can resolve the inversion without the need of other surgical techniques. It is essential to keep in mind this diagnosis, and be updated about the strategies required to solve this complication. BioMed Central 2014-10-17 /pmc/articles/PMC4206858/ /pubmed/25326075 http://dx.doi.org/10.1186/1752-1947-8-347 Text en Copyright © 2014 Leal et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Case Report Leal, Rui Filipe Monteiro Luz, Rita Mano de Almeida, José Pinto Duarte, Vitorino Matos, Isabel Total and acute uterine inversion after delivery: a case report |
title | Total and acute uterine inversion after delivery: a case report |
title_full | Total and acute uterine inversion after delivery: a case report |
title_fullStr | Total and acute uterine inversion after delivery: a case report |
title_full_unstemmed | Total and acute uterine inversion after delivery: a case report |
title_short | Total and acute uterine inversion after delivery: a case report |
title_sort | total and acute uterine inversion after delivery: a case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4206858/ https://www.ncbi.nlm.nih.gov/pubmed/25326075 http://dx.doi.org/10.1186/1752-1947-8-347 |
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