Chronic uterine inversion due to myoma geburt

Abstract

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.