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Chronic Uterine Inversion Presenting as Menorrhagia - A Case Report


Peter O Adefuye

Abstract

Uterine inversion is an uncommon complication of third stage of labour. When it is incomplete it may be difficult to recognize and may then progress to a chronic condition in the patient. Bleeding and pain, which may be severe enough to lead to shock when acute, are invariable with this clinical condition.


Mrs.O.S. is presented to highlight a case of incomplete inversion of the uterus due to poor labour supervision by unskilled midwives. The condition was not recognized and had progressed to chronic inversion at the time of presentation.


Uterine inversion is a known cause of primary postpartum haemorrhage and should be suspected in cases that are managed poorly as Mrs. O.S., as such may progress to chronic inversion and become complicated with menorrhagia


Key Words: Chronic, Inversion, Menorrhagia, Haultain's Operation


Nigerian Medical Practitioner Vol.46(3) 2004: 56-58

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eISSN: 0189-0964