An exceptional uterine inversion in a virgo patient affected by submucosal leiomyoma: Case report and review of the literature

• Published in: The journal of obstetrics and gynaecology research Vol. 45; no. 2; pp. 466 - 472
• Main Authors: Della Corte, Luigi, Giampaolino, Pierluigi, Fabozzi, Annamaria, Di Spiezio Sardo, Attilio, Bifulco, Giuseppe
• Format: Journal Article
• Language: English
• Published: Kyoto, Japan John Wiley & Sons Australia, Ltd 01.02.2019; Wiley Subscription Services, Inc
• Subjects: Benign; Case reports; Diagnosis; Emergency medical care; Fibroids; Hysterectomy; leiomyoma; Literature reviews; Mental disorders; non‐puerperal uterine inversion; Pain; Patients; Pregnancy; Schizophrenia; Uterus; Vagina; Virgo patient; Virgo patient; non-puerperal uterine inversion; leiomyoma
• ISSN: 1341-8076; 1447-0756; 1447-0756
• DOI: 10.1111/jog.13806

Inversion of the uterus is quite a rare obstetric (puerperal) or gynecological (non‐puerperal) condition. Non‐puerperal type may be benign or malign mass induced or idiopathic. To the best of our knowledge, this is the first case with a large review of literature of uterine inversion in a patient without sexual experience. We report the case of a 52‐year‐old, unmarried virgo woman, affected by schizophrenia, was referred to our emergency room for evidence of a mass outside of the vaginal introitus, combined with vaginal bleeding and abdominal pain. The patient underwent vaginal myoma resection and abdominal hysterectomy with bilateral adnexectomy. The diagnosis of uterine inversion was confirmed during operation. Diagnosis of uterine inversion is often not easy and imaging studies might be helpful. Despite the rarity, uterine non‐puerperal inversion is possible: for this reason, it is necessary to perform appropriate, conservative treatment, especially in women affected by benign myomas and with a desire for pregnancy.