A case of non-puerperal incomplete uterine inversion caused by submucous leiomyoma

Abstract

Synopsis The frequency of non-puerperal uterine inversion is rare. Non-puerperal incomplete uterine inversion was diagnosed in a 52-year-old woman (gravida 2, para 2, not yet menopausal). She was diagnosed with uterine myoma at 47 years old. She visited a GYN clinic because of irregular vaginal bleeding at 50 years old, and repeated GnRHa treatment was selected. However, the size of the uterine myoma could not be reduced, and the patient was referred to our hospital for operative treatment. The chief complaint at the initial visit was a generous amount of vaginal discharge. The diagnosis of non-puerperal incomplete uterine inversion was made according to MRI findings of an inverted fundus and prolapsed submucous myoma in the vagina. Abdominal total hysterectomy and bilateral fallopian tubal resection were performed. The pathological diagnosis was submucous uterine leiomyoma. The postoperative course was uneventful and the symptom of discharge disappeared. [Adv Obstet Gynecol, 69 (2) : 126-130, 2017 (H29.5)]