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CASE REPORT
Year : 2015  |  Volume : 5  |  Issue : 1  |  Page : 52-55

Acute uterine inversion: A case report and literature review


1 Department of Obstetrics and Gynaecology, College of Health Sciences, Benue State University, Makurdi, Nigeria
2 Department of Obstetrics and Gynaecology,Ahmadu Bello University, Zaria, Nigeria

Correspondence Address:
O A Ojabo
Department of Obstetrics and Gynaecology, College of Health Sciences, Benue State University, Makurdi
Nigeria
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-9596.153166

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Acute inversion is a rare but serious obstetric emergency. Women can rapidly develop profound shock which can prove fatal if not treated appropriately. A young multiparous woman was rushed to the obstetric unit of the hospital with a history of delivery at home under the supervision of her husband a few hours before presenting with a mass protruding from the vagina and associated severe vaginal bleeding. On examination, she was noticed to have complete uterine inversion of the uterus. She was promptly resuscitated with intravenous fluids and the uterus was manually replaced immediately. She was further managed with analgesics, uterotonic agents, antibiotics and three pints of blood was transfused. She made uneventful recovery and she was discharged from the hospital after 3 days. Uterine inversion is rare, therefore a strong clinical suspicion and prompt intervention in the form of immediate replacement of the uterus, blood transfusion, intravenous fluids with the use of broad spectrum antibiotics can be life-saving. The management of acute uterine inversion should be incorporated into skills and drills training.


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