Chronic Non-Puerperal Uterine Inversion: A report of two cases

Abstract

Inversion of the uterus is a rare clinical problem. Non puerperal inversion usually results from a tumour arising from the fundus of the  uterus. The patient may present with heavy vaginal bleeding, discharge or pelvic pain. We report 2 cases of chronic non puerperal uterine  inversion in a 38year old woman and a 54year old postmenopausal woman. Both presented with vaginal bleeding, a mass  protruding from the vagina and lower abdominal pain. At first vaginal myomectomy was performed and subsequently Kustner procedure  and then vaginal hysterectomy in both cases. Early diagnosis, immediate resuscitation and early replacement of the inverted  uterus are important to prevent further complications.