CHRONIC UTERINE INVERSION ASSOCIATED WITH FIBROID - A CASE REPORT

Abstract

Introduction: Uterine inversion is a condition in which the uterus turns inside out with
prolapse of fundus through the cervix into or outside vagina. Chronic inversion cases are rare.
We present a rare case of chronic uterine inversion associated with uterine fibroids.
Case Report: A 42 year old female, P L , was admitted with complains of menorrhagia and pain 3 3
lower abdomen for 1 month. Speculum examination revealed a fleshy polyp filling whole of
vagina. On per vaginal examination size of mass could not be assessed and cervical lips could
not be felt. So, a provisional diagnosis of fibroid polyp was made. Per-operatively inversion of
tube and ovaries along with a sessile submucosal fundal fibroid polyp of size 10 x 8 cm was
found. A revised diagnosis of chronic uterine inversion with sessile fibroid polyp was made.
Patient then underwent Total Abdominal Hysterectomy with Bilateral Salpingo-oophrectomy.
Conclusion: Chronic inversion should be kept as a differential diagnosis in a patient with
history of irregular bleeding associated with dragging pain of lower abdomen and feeling of a
mass coming out of introitus. Pre operatively it should be differentiated from fibroid polyp,
uterine prolapse and prolapsed hypertrophied ulcerated cervix.