scholarly journals Towards uterine inversion: Illustration of a gradual process through three cases of submucous myoma

1970 ◽  
Vol 1 (2) ◽  
pp. 51-54
Author(s):  
Kesang D Bista ◽  
Ashma Rana ◽  
Geeta Gurung ◽  
Neelam Pradhan ◽  
Archana Amatya
Keyword(s):  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Menopausal Woman ◽  
Post Menopausal Woman ◽  
Submucous Myoma ◽  
Uterine Inversion ◽  
Gradual Process ◽  
Post Menopausal ◽  
Uterine Fundus ◽  
Vaginal Myomectomy

How the largest of the large (> 10 x 8 cms) sub mucous myoma arising from the fundus uteri successively promotes the occurrence of non puerperal uterine inversion over the years as depicted through 3 different illustrations imitating a gradual process; first by forming an indentation in the uterine fundus then progressively causing more dimpling in the verge of uterine inversion until finally giving rise to a full blown picture of complete uterine inversion where the uterine fundus is driven beyond the level of introitus with the consequences of prolapsed incarcerated myoma in a post menopausal woman. A total abdominal hysterectomy and bilateral salpingoophorectomy were performed on all of these 3 women 2 perimenopausal and a postmenopausal; the latter was first facilitated by vaginal myomectomy further supplemented by division of the inversion ring posteriorly as described by Haultain. Key words: Non puerperal uterine inversion, submucous fundal myoma, vaginal myomectomy. doi:10.3126/njog.v1i2.2398 N. J. Obstet. Gynaecol Vol. 1, No. 2, p. 51-54 Nov-Dec 2006

scholarly journals Non Puerperal Uterine Inversion Secondary to Submucosal Fibroid: A Case Report

2021 ◽  
Author(s):  
Nilaj Bagde ◽  
Sefali Shinde ◽  
Vinita Singh ◽  
Rahul Satarkar ◽  
Habung Yarang
Keyword(s):  
Exploratory Laparotomy ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Packed Red Blood Cells ◽  
Submucous Myoma ◽  
Uterine Inversion ◽  
Satisfactory Condition ◽  
Fibroid Polyp ◽  
Uncommon Condition ◽  
Vaginal Canal

Non Puerperal Uterine Inversion (NPUI) is a very uncommon condition. The incidence of puerparal uterine inversion make an estimate of 1/30,000 deliveries and NPUI approximately 17% of all uterine inversion. The most common cause which leads to uterine inversion is a submucous myoma attached to the fundus but diagnosis can be difficult to make. The management of uterine inversion is always challenging for a surgeon. In the present case a 38-year-old woman, presented with significant anaemia because of menorrhagia. She used to feel mass occasionally into the vaginal canal which never comes out of the introitus, the mass was elucidated as a fibroid polyp. On investigation, her haemoglobin was 6.6 gm%, with continous bleeding per vaginum, patient was transfused with three units packed red blood cells and planned for surgery. A diagnosis of incomplete uterine inversion secondary to a submucous fibroid was made at exploratory laparotomy. Total abdominal hysterectomy, right salpingectomy with left salpingo-oophorectomy was performed. The patient was discharged under satisfactory condition.

scholarly journals Wombstone-massive calcified fibroid: a case report

2021 ◽  
Vol 10 (4) ◽  
pp. 1701
Author(s):  
Shruthi Ananthula ◽  
Ushadevi Gopalan
Keyword(s):  
Histopathological Examination ◽  
Previous History ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Menopausal Woman ◽  
History Of Surgery ◽  
Radiological Findings ◽  
History Of ◽  
Post Menopausal ◽  
Work Up

We report a case of a calcified submucous leiomyoma in 50 years women with lower abdominal discomfort. She had no previous history of surgery. Work up confirmed a calcified leiomyoma. The diagnosis was made by radiological findings. Total abdominal hysterectomy with bilateral salpingo-oophorectomy is the surgery of choice for these cases. Histopathological examination confirmed a calcified leiomyoma. A calcified leiomyoma in a post-menopausal woman is rare.

scholarly journals A case of non-pueperal chronic uterine inversion managed successfully

2020 ◽  
Vol 10 (1) ◽  
pp. 419
Author(s):  
Michelle Fonseca ◽  
Ashwini Desai ◽  
Deepali Kapote ◽  
Swati Gawai ◽  
Anam Syed
Keyword(s):  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Clinical Findings ◽  
Rare Occurrence ◽  
Uterine Inversion ◽  
Fibroid Polyp ◽  
Inside Out ◽  
Multiparous Female ◽  
Uterine Fundus

Uterine inversion is prolapse of the uterine fundus and corpus turned inside out towards or through the cervix. The non-puerperal type of uterine inversion is a quite rare occurrence and it accounts for only 17% of all uterine inversion cases. We present a case of 45 year old multiparous female who presented to us with polymenorrhagia with fibroid polyp. Ultrasonography confirmed the clinical findings however Intraoperatively examination under anaesthesia revealed uterine inversion. On table we proceeded with Haultains method of uterine reposition followed by total abdominal hysterectomy. Patient recovered well and thus case was successfully managed.

scholarly journals Non-puerperal uterine inversion due to huge submucosal uterine myoma: a case report

2021 ◽  
Vol 10 (10) ◽  
pp. 3958
Author(s):  
Simeon C. Amadi ◽  
Peter A. Awoyesuku ◽  
Basil O. A. Altraide ◽  
Chinweowa Ohaka
Keyword(s):  
Case Report ◽  
Vaginal Bleeding ◽  
Total Abdominal Hysterectomy ◽  
Abdominal Hysterectomy ◽  
Rare Clinical Entity ◽  
Diagnosis And Management ◽  
Uterine Inversion ◽  
Ischaemic Necrosis ◽  
Vaginal Myomectomy ◽  
Future Management

Uterine inversion is a rare clinical entity with challenging diagnosis and management. Reports of successfully managed cases contribute to knowledge and aid future management of cases among practitioners. We report a case of a 46 year old para-3 with protrusion of a mass from her vagina and vaginal bleeding of 7 days duration. She was managed as a case of chronic uterine inversion. She was resuscitated and had vaginal myomectomy, Haultin’s procedure and subsequently total abdominal hysterectomy due to ischaemic necrosis of parts of the uterus. 

scholarly journals Yolk sac tumor of the endometrium in a post-menopausal woman: Case report and review of the literature

2021 ◽  
pp. 100748
Author(s):  
Risha Sinha ◽  
Bethany Bustamante ◽  
Alexander Truskinovsky ◽  
Gary L. Goldberg ◽  
Karin K. Shih
Keyword(s):  
Case Report ◽  
Yolk Sac ◽  
Yolk Sac Tumor ◽  
Menopausal Woman ◽  
Review Of The Literature ◽  
Post Menopausal Woman ◽  
Post Menopausal

Estrogen Replacement Therapy: The Benefit Outweighs the Risk

1993 ◽  
Vol 6 (5) ◽  
pp. 211-215
Author(s):  
Andrea O. Moore ◽  
Geneva C. Briggs
Keyword(s):  
Replacement Therapy ◽  
Estrogen Replacement Therapy ◽  
Menopausal Woman ◽  
Estrogen Replacement ◽  
Post Menopausal Woman ◽  
Long Term Effect ◽  
Increased Risk ◽  
Mortality Incidence ◽  
Post Menopausal ◽  
Multiple Symptoms

Menopause and the related decline in estrogen result in multiple symptoms including genitourinary atrophy, vasomotor instability, and osteoporosis. The most significant long-term effect of estrogen deficiency is increased risk of cardiovascular disease. Estrogen replacement therapy (ERT) decreases osteoporosis and associated fractures, decreases symptoms associated with menopause, and offers cardioprotection. However, ERT is not without risk because it may lead to increased risk of endometrial cancer if used without progestin, and has been questionably linked to breast cancer. Educating the post-menopausal woman concerning the risks and benefits of ERT is essential to assure compliance. ERT decreases mortality incidence and improves quality of life, and its use for any post-menopausal woman without contraindications is recommended.

scholarly journals Endometrioma mimicking ovarian malignancy in a post-menopausal woman

2021 ◽  
Vol 10 (8) ◽  
pp. 3226
Author(s):  
Vijay Zutshi ◽  
Shreshtha Gupta ◽  
Charanjeet Ahluwalia ◽  
Monica R.
Keyword(s):  
Normal Serum ◽  
Reproductive Age ◽  
Ca 125 ◽  
Menopausal Woman ◽  
Ovarian Malignancy ◽  
Ovarian Endometriosis ◽  
Post Menopausal Woman ◽  
Estrogen Production ◽  
Malignant Ovarian Tumor ◽  
Post Menopausal

Endometriosis is an estrogen dependant disorder of reproductive-age women. It is uncommon after menopause, however, peripheral estrogen production may account for endometriosis in post-menopausal women. We reported a case of a 68 year old post-menopausal woman with an adnexal mass suspected malignant ovarian tumor on imaging and normal serum CA 125 levels. Total hysterectomy with bilateral salpingo-oophorectomy was done. The final histopathology revealed the diagnosis of ovarian endometriosis. Rarely, ovarian endometrioma can mimic ovarian malignancy in a post-menopausal woman.

Sign in / Sign up

Export Citation Format

Share Document