Non-Puerperal Uterine Inversion in a Young Woman: A Case Report, Brief Surgical Review, and Clinical Insights

Abstract

Uterine inversion is usually encountered in the puerperal period and is considered a life-threatening event. The incidence of puerperal uterine inversion is 1 in 3500 deliveries; however, the incidence of non-puerperal uterine inversion is largely unknown. With few more than 100 cases reported in the literature, the management of this condition poses many challenges. We introduce the case of a 24-year-old presenting to a rural, private hospital in western Kenya, with isolated severe pelvic pain and a protruding vaginal mass for several days. Non-puerperal uterine inversion was identified and surgical interventions included the Haultain procedure and supracervical hysterectomy. Edema and strength of the constriction ring in addition to necrosis and infection of the uterus increased the difficulty of this procedure. Rarity of disease, delayed presentation to a healthcare facility, and atypical symptoms can additionally pose challenges to the management of this condition, as it did in our case.