scholarly journals Uterine Inversion: A Life-Threatening Obstetric Emergency

2000 ◽  
Vol 13 (2) ◽  
pp. 120-123 ◽  
Author(s):  
D. R. Hostetler ◽  
M. F. Bosworth
2020 ◽  
Vol 4 (1) ◽  
pp. 110-113
Author(s):  
Bobby Indra Utama, SpOG(K)

Background: Uterine inversion is a rare obstetric emergency but potentially serious complication of labour. This disease characterized by severe pain and can cause life threatening condition. If these not immediately identified, the massive and underestimated blood loss can lead to hypovolemic shock. There for, early diagnosis and management of this condition is desirable.Objective: Report on the management of chronic uterine inversion due to myoma geburtMethods: Case reportCase: A 46 years old patient was admitted to the gynaecology ward of Dr. M. Djamil Central General hospital with slight bleeding from vagina since 1 month ago with 2-3 pieces of underware dark-red colored, with pain. Bleeding from the vagina often recurs. There was a mass revealed from vagina with size as big  as baby’s head. The mass  had pus and necrotic tissue.Conclusion: Uterine inversion is an serious obstetric complication due to life threaten of the patient. Its low incidence leads to scarce experience in solving this kind of situation. There are some risk factors or mechanism as an underlying etiology of uterine inversion. The authors concluded that the presence of myoma geburt can be assosiated with the chronic uterine inversion. Surgical approach by eksterpation of myoma geburt with  total hysterectomy can be the right procedure. Therefore, it is essential to keep in mind this diagnosis in all cases of vaginal bleeding. Keywords: uterine inversion; myoma geburt


2020 ◽  
Vol 8 (C) ◽  
pp. 223-225
Author(s):  
Bobby indra Utama

BACKGROUND: Uterine inversion is a rare obstetric emergency but potentially serious complication of labor. This disease characterized by severe pain and can cause life-threatening condition. If these not immediately identified, the massive and underestimated blood loss can lead to hypovolemic shock. Therefore, early diagnosis and management of this condition is desirable. The objective of the study was to report on the management of chronic uterine inversion due to myoma geburt. CASE REPORT: A 46-year-old patient was admitted to the gynecology ward of Dr. M. Djamil Central General Hospital with slight bleeding from vagina for 1 month ago with 2–3 pieces of underwear dark red colored, with pain. Bleeding from the vagina often recurs. There was a mass revealed from vagina with size as big as baby’s head. The mass had pus and necrotic tissue.  CONCLUSION: Uterine inversion is a serious obstetric complication due to life threaten of the patient. Its low incidence leads to scarce experience in solving this kind of situation. There are some risk factors or mechanism as an underlying etiology of uterine inversion. The authors concluded that the presence of myoma geburt can be associated with the chronic uterine inversion. Surgical approach by eksterpation of myoma geburt with total hysterectomy can be the right procedure. Therefore, it is essential to keep in mind this diagnosis in all cases of vaginal bleeding.


2021 ◽  
Vol 30 (1) ◽  
Author(s):  
William Timotius Wahono ◽  
Angela Putri ◽  
Yudianto Budi Saroyo ◽  
Antonius Joko Nugroho ◽  
Ruth Sally ◽  
...  

Uterine inversion is a rare, but life-threatening obstetric emergency. We describe a case of total subacute uterine inversion in settings with limited resources. A multiparous (P4) 29-year-old woman with history of delivery assisted by a traditional birth attendant who used the fundal pressure technique 4 days before admission was referred due to postpartum hemorrhage. She had low blood pressure, tachycardia, and lethargic. A protruding mass from the vaginal introitus with active bleeding was visible. She diagnosed with third degree hemorrhagic shock due to total subacute uterine inversion. Resuscitation was initiated immediately and manual uterine repositioning was performed under general anesthesia. After two failed attempts, a laparotomy was performed to apply traction to the round ligaments and an incision on the cervical ring by using Allis clamps. The inversion was resolved. Next, subtotal hysterectomy was done to stop bleeding and infection.


2013 ◽  
Vol 8 (1) ◽  
pp. 46-49
Author(s):  
Indira Upadhyaya ◽  
P Chaudhary

Acute puerperial uterine inversion is a rare life threatening obstetric emergency, in which the uterine fundus collapses into and out of the uterine cavity. Although precise cause is unknown, it is postulated to be caused by the mismanagement of the third stage of labour. The duration of time elapsed from moment of diagnosis to that of correction, along with rapid resuscitation measures are of utmost importance in its prognosis. Principle of treatment includes resuscitation followed by manual reduction of inversion uterus. Surgical procedure may be needed if reinversion is impossible. Reporting here are series of cases with acute inversion of uterus at third stage of labour followed by a short review of the literature. Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 1 / Issue 15 / Jan- June, 2013 / 46-49 DOI: http://dx.doi.org/10.3126/njog.v8i1.8865


2018 ◽  
Vol 12 (1) ◽  
pp. 62-63
Author(s):  
Reena Shrestha ◽  
SD Shrestha ◽  
AP Malla ◽  
R Pradhan ◽  
B Pradhan ◽  
...  

Acute total uterine inversion is a rare and life threatening obstetric emergency. Prompt diagnosis and aggressive management reduces maternal mortality and morbidity .We report a case of 28 year old primi, who had total uterine inversion immediately after normal delivery of full term baby weighing 3150gm. Immediate manual repositioning was done by Johnson’s maneuver under general anesthesia. She recovered well and was discharged after 5 days.


Ultrasound ◽  
2011 ◽  
Vol 19 (4) ◽  
pp. 227-229
Author(s):  
N Chauhan ◽  
Y Sharma

Puerperal uterine inversion is an uncommon but potentially life-threatening obstetric emergency. We report a case of an infected chronic uterine inversion which presented 12 weeks after the vaginal delivery. The diagnosis was made on ultrasound and resulted in timely therapeutic intervention. The greyscale and Doppler findings are discussed.


2021 ◽  
pp. 327-331
Author(s):  
Natasya Natasya ◽  
Fidel Ganis Siregar ◽  
Ratna Akbari Ganie

Preeclampsia is a pregnancy syndrome affecting multiple organ systems, characterized by hypertension and proteinuria after 20 weeks of gestation. The incidence of preeclampsia is estimated to be 3-10% of pregnancies worldwide and is the leading cause of death for pregnant women. Preeclampsia is a life-threatening obstetric emergency, so it needs prompt and precise treatment to prevent morbidity and mortality. WHO estimates that the incidence of preeclampsia is seven times higher in developing countries (2.8% of live births) than in developed countries 1,2 (0.4%).


Author(s):  
Niranjan Mayadeo ◽  
Anusha Devalla

Uterine torsion is a rare, life-threatening and unexpected obstetric emergency. It is almost always diagnosed at caesarean section. Its ill-defined clinical presentation may pose a diagnostic dilemma. Here the authors present a case of 32-year-old, Primigravida, 36 weeks pregnancy with acute abdomen and intrauterine foetal demise. Clinical features resembled Abruptio Placentae. The diagnosis of uterine torsion (180°) was established on laparotomy where the left ovarian ligament was seen on the right side anteriorly. A posterior hysterotomy was done to extract the baby which was followed by detorsion of the uterus. The postoperative period was uneventful.


Author(s):  
Divya Saha ◽  
Dipika Singh ◽  
Sarika Verma

Acute puerperal inversion is rare but potentially fatal obstetric emergency and prompt recognition will enable immediate repositioning of uterus before it becomes edematous and incarcerated. Manual repositioning along with use of uterine balloon tamponade is simple and effective way for repositioning of inverted uterus as well as prevention of recurrence.


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