AI Article Synopsis
- Puerperal uterine inversion is a rare but serious condition that can occur after childbirth due to factors like short umbilical cord and uterine atony.
- A woman who had a normal delivery experienced severe complications including bleeding and shock, leading to a diagnosis of uterine inversion after persistent symptoms.
- The diagnosis was challenging due to non-specific symptoms, but laparoscopic surgery was successfully performed, using a fundus incision to minimize risks of injury to surrounding organs.
Article Abstract
Objective: Puerperal uterine inversion is a rare and severe complication and is associated with short cord, uncontrolled cord traction, placenta accreta, or uterine atony.
Case Report: A primigravida woman gave birth a 2770 gm newborn at term at our hospital, and clinically presented postpartum hemorrhage, hypovolemic shock, postpartum preeclampsia and urinary retention. She discharged 3 days postpartum, but she complained persist vaginal bleeding and lower abdominal pain for more than 1 month. Uterine inversion was diagnosed and laparoscope surgery for reduction was done.
Conclusion: The non-specific clinical presentation made diagnosis of uterine inversion more difficult. Except pelvic examination, sonographic and hysteroscopic images were record in this article. Surgical intervention was performed. A fundus incision was effective for reduction and had low risk of bladder and bowel injury.
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| http://dx.doi.org/10.1016/j.tjog.2024.04.018 | DOI Listing |
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