Uterine perforation during uterine repositioning on nonpuerperal uterine inversion by delivery of a large fibroid: A case report.

Uomoto, Mari; Tokinaga-Uchiyama, Aya; Kobayashi, Natsuko; Okuda, Mika.

Afiliación

Uomoto M; Department of Obstetrics and Gynecology National Hospital Organization Yokohama Medical Center Yokohama Japan.
Tokinaga-Uchiyama A; Department of Obstetrics and Gynecology National Hospital Organization Yokohama Medical Center Yokohama Japan.
Kobayashi N; Department of Obstetrics and Gynecology National Hospital Organization Yokohama Medical Center Yokohama Japan.
Okuda M; Department of Obstetrics and Gynecology National Hospital Organization Yokohama Medical Center Yokohama Japan.

Clin Case Rep ; 11(8): e7810, 2023 Aug.

Article en En | MEDLINE | ID: mdl-37637204

ABSTRACT

Key Clinical Message Transvaginal uterine restoration of nonpuerperal uterine inversion is difficult; there are risks of heavy bleeding and uterine perforation. In such cases, total hysterectomy and transfusion are inevitable. Abstract A 47-year-old woman with profuse genital bleeding, diagnosed with nonpuerperal uterine inversion caused by a uterine fibroma, underwent emergency surgery. Uterine perforation occurred during transvaginal uterine restoration, revealed by laparoscopy. Bleeding persisted and blood transfusion volume increased; therefore, a total hysterectomy was performed for hemostasis.

Palabras clave

fibroma; laparoscopy; nonpuerperal uterine inversion; perforation