Uterine Inversion in Association with Uterine Sarcoma: A Case Report with MRI Findings and Review of the Literature

• Published in: Gynecologic and obstetric investigation Vol. 73; no. 3; pp. 260 - 264
• Main Authors: Occhionero, M., Restaino, G., Ciuffreda, M., Carbone, A., Sallustio, G., Ferrandina, G.
• Format: Journal Article
• Language: English
• Published: Basel, Switzerland S. Karger AG 01.01.2012
• Subjects: Adenosarcoma - complications; Adenosarcoma - diagnosis; Adenosarcoma - therapy; Combined Modality Therapy; Female; Humans; Hysterectomy; Laparotomy; Magnetic Resonance Imaging; Middle Aged; Novel Insights from Clinical Practice; Ovariectomy; Salpingectomy; Uterine Inversion - etiology; Uterine Inversion - pathology; Uterine Neoplasms - complications; Uterine Neoplasms - diagnosis; Uterine Neoplasms - therapy; Uterine inversion; Magnetic resonance imaging; Müllerian adenosarcoma
• ISSN: 0378-7346; 1423-002X
• DOI: 10.1159/000334311

Non-puerperal uterine inversion due to uterine sarcomas represents a very rare event with no reliable estimate of frequency in the literature. Clinically, the diagnosis of inversion may be difficult, as far as imaging procedures are concerned, although ultrasonography may prove to be useful. However, some characteristics such as the indentation of the fundic area and a depressed longitudinal groove extending from the uterus to the center of the inverted portion are difficult to recognize. Moreover, there is no specific computed tomography feature accurate enough to aid in the differential diagnosis. Here, we report a case of uterine inversion due to Müllerian uterine adenosarcoma whose preoperative workup and diagnosis took advantage of the application of magnetic resonance imaging.