Abstract

Case Report

A case report of uterine inversion after home delivery

Sena-Martins M*, Tadini V, Bolsonaro-Guilherme B, Mariani-Neto C, Pires ABN, Lucato LL, Soares AN, Xavier JC, Teixeira BACB, Faro SL and Silva TB

Published: 26 April, 2021 | Volume 4 - Issue 2 | Pages: 050-054

Puerperal acute uterine inversion is a rare obstetric condition observed as a serious complication during the third stage of labor. Reported as one of the causes of postpartum haemorrhage, it commonly requires quick diagnosis and surgical treatment in order to reduce morbidity and lethality. The authors describe a case of uterine inversion with hypovolemic shock after home birth, brought to Hospital Leonor Mendes de Barros. The purpose of this article is to describe a case of acute uterine inversion and its management and a review of aetiology, predictive and risk factors, diagnosis and treatment.

Read Full Article HTML DOI: 10.29328/journal.cjog.1001086 Cite this Article Read Full Article PDF

Keywords:

Hypovolemic shock; Uterine inversion; Hysterectomy; Huntington´s maneuver; Taxe´s Maneuver

References

  1. Neves J, Cardoso E, Araújo C, Santo S, Gonçalves P, et al. Inversão uterina. 2006; 19: 181-184.
  2. Mishra S. Chronic Uterine Inversion Following Mid-Trimester Abortion. Journal of Obstetrics and Gynecology of India. 2018; 68: 320–322. PubMed: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6046678/
  3. Zohav E, Eyal Y. Anteby EY, Grin L. 2018. U‑turn of uterine arteries: a novel sign pathognomonic of uterine inversion. J Ultrasound. 2018; 23: 77–79. https://link.springer.com/article/10.1007/s40477-018-0319-0
  4. Bohoussou E, Dia L, Yao I, Anzoua K, Guie P, et al. Management of an Unusual Complication of Uterine Fibroids in the Gynecological Department of the University and Hospital Center of Treichville (Cote D’ivoire): About 2 Cases of Non-Puerperal Uterine Inversion. Open J Obstetr Gynecol. 2017; 7: 220-225. https://www.scirp.org/journal/paperinformation.aspx?paperid=74238
  5. Occhionero M, Restaino G, Ciuffreda M, Carbone A, Sallustio G, et al. Uterine inversion in association with uterine sarcoma: a case report with MRI findings and review of the literature. Gynecologic Obstetric Investigat. 2012; 73: 260-264. PubMed: https://pubmed.ncbi.nlm.nih.gov/22377482/
  6. Ida A, Ito K, Kubota Y, Nosaka M, Kato H, et al. Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon. Case Rep Obstetr Gynecol. 2015; 2015: 1-5. https://www.hindawi.com/journals/criog/2015/424891/
  7. Witteveen T, van Stralen G, Zwart J, van Roosmalen J. Puerperal uterine inversion in the Netherlands: a nationwide cohort study. Acta Obstetricia et Gynecologica Scandinavica. 2013; 92: 334–337. PubMed:https://pubmed.ncbi.nlm.nih.gov/22881867/
  8. Coad SL, Dahlgren LS, Hutcheon JA. Risks and consequences of puerperal uterine inversion in the United States, 2004-2013. Am J Obstetr Gynecol. 2017; 217: P377. E1-377.E6. https://www.ajog.org/article/S0002-9378(17)30627-0/abstract
  9. Adjoby R, Kakou C, Kouame A, Kouame N’, Abouna D, et al. Hysterectomy for Uterine Inversion: About Two Cases at University Hospital of Cocody (Abidjan—Ivory Coast). Open J Obstetr Gynecol. 2018; 8: 368-375. https://www.scirp.org/pdf/OJOG_2018041614594084.pdf
  10. Gonçalves ER, Bezerra LRPS, Karbage SAL, Rocha AP. Inversão uterina não puerperal em paciente jovem por mioma parido gigante: relato de caso e revisão de literatura. Revista de Medicina da UFC. 2016; 56: 58-62. http://periodicos.ufc.br/revistademedicinadaufc/article/view/19813
  11. Pauleta JR, Rodrigues R, Melo MA, Graça LM. Ultrasonographic diagnosis of incomplete uterine inversion. Ultrasound Obstetr Gynecol. 2010; 36: 260-261. https://obgyn.onlinelibrary.wiley.com/doi/10.1002/uog.7735
  12. Shepherd LJ, Shenassa H, Singh SS. Laparoscopic management of uterine inversion. J Minim Invasive Gynecol. 2010; 17: 255-257. PubMed: https://pubmed.ncbi.nlm.nih.gov/20226420/
  13. Tharaux CD, Sentilhes L, Maillard F, Closset E, Vardon D, et al. Effect of routine controlled cord traction as part of the active management of the third stage of labour on postpartum haemorrhage: multicentre randomised controlled trial (TRACOR). 2013; 346: f1541. PubMed: https://pubmed.ncbi.nlm.nih.gov/23538918/
  14. Zugaib M. Zugaib Obstetrícia. Barueri(SP). Editora Manole. 2020; 1406.
  15. Ihama Y, Fukasawa M, Ninomiya K, Miyazaki T. Acute puerperal uterine inversion. Foren Sci Med Pathol. 2013; 10: 272-274. PubMed:https://pubmed.ncbi.nlm.nih.gov/24356804/
  16. Baskett TF. Acute uterine inversion: a review of 40 cases. J Obstet Gynaecol Canada. 2020; 24: 953-956. https://www.jogc.com/article/S1701-2163(16)30594-1/abstract
  17. Wendel MP, Shnaekel KL, Magann EF. Uterine Inversion: A Review of a Life-Threatening Obstetrical Emergency. Obstet Gynecol Surv. 2018; 73: 411-417. PubMed: https://pubmed.ncbi.nlm.nih.gov/30062382/
  18. Hu CF, Lin H. Ultrasound diagnosis of complete uterine inversion in a nulliparous woman. Acta Obstetricia et Gynecologica Scadinavica. 2012; 91: 379-381. PubMed: https://pubmed.ncbi.nlm.nih.gov/22122794/
  19. Baggieri RAB, Vicente GS, Santos JA, Cabalero MHC, Barbosa HM, et al. Hemorragia pós-parto: prevenção e tratamento. Arquivos Médicos dos Hospitais e da Faculdade de Ciências Médicas da Santa Casa de São Paulo. 2011; 56: 96-101. http://arquivosmedicos.fcmsantacasasp.edu.br/index.php/AMSCS
  20. Yoo KY, Lee JC, Yoon HM, Shin MH, Kim SJ, et al. The effects of volatile anesthetics on spontaneous contractility of isolated human pregnant uterine muscle: a comparison among sevoflurane, desflurane, isoflurane, and halothane. Anesth Analge. 2006; 103: 443–447. PubMed: https://pubmed.ncbi.nlm.nih.gov/16861431/
  21. Majd HS, Pilsniak A, Reginald PW. Recurrent uterine inversion: a novel treatment approach using SOS Bakri balloon. BJOG. 2009; 116: 999-1001. PubMed: https://pubmed.ncbi.nlm.nih.gov/19522802/
  22. Tan KH, Luddin NSY. Hydrostatic reduction of acute uterine inversion. Int J Gynecol Obstet. 2005; 91: 63-64. PubMed: https://pubmed.ncbi.nlm.nih.gov/16040034/
  23. Thakur M, Thakur A. Stat Pearls Publishing LLC. Uterine inversion. Treasure Island (FL). 2021. PubMed: https://www.ncbi.nlm.nih.gov/books/NBK525971/
  24. Antonelli E, Irion O, Tolck P, Morales M. Subacute uterine inversion: description of a novel replacement technique using the obstetric ventouse. BJOG. 2006; 113: 846-847. PubMed: https://pubmed.ncbi.nlm.nih.gov/16827772/
  25. Sardeshpande NS, Sawant RM, Sardeshpande SN, Sabnis SD. Laparoscopic correction of chronic uterine inversion. J Minim Invasive Gynecol. 2009; 16: 646-648. https://www.sciencedirect.com/
  26. Alves ALL, Silva LB, Melo VH. Use of uterine compression sutures in postpartum hemorrhage. FEMINA. 2014; 42: 265-276. https://pesquisa.bvsalud.org/portal/resource/pt/lil-749147
  27. Mondal PC, Ghosh D, Santra D, Majhi AK, Mondal A, et al. Role of Hayman technique and its modification in recurrent puerperal uterine inversion. J Obstet Gynaecol Res. 2012; 38: 438–441. PubMed: https://pubmed.ncbi.nlm.nih.gov/22379624/
  28. Matsubara S, Baba Y. MY (Matsubara-Yano) uterine compression suture to prevent acute recurrence of uterine inversion. Acta Obstetricia et Gynecologica Scandinavica. 2012; 92: 734-735. PubMed: https://pubmed.ncbi.nlm.nih.gov/22881712/
  29. Giongo MS, Azzi T, Gios TS, Rosa TSC. Óbito pós inversão uterina: relato de caso. Arquivos Catarinenses de Medicina. 2012; 41: 79-81. http://www.acm.org.br/revista/pdf/artigos/933.pdf

Figures:

Figure 1

Figure 1

Figure 1

Figure 2

Figure 1

Figure 3

Figure 1

Figure 4

Figure 1

Figure 5

Figure 1

Figure 6

Figure 1

Figure 7

Figure 1

Figure 8

Similar Articles

Recently Viewed

Read More

Most Viewed

Read More