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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Uterine leiomyoma associated non-puerperal uterine inversion misdiagnosed as advanced cervical cancer: A case report
International Journal of Surgery Case Reports, Volume 4, No. 11, Year 2013
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Description
Introduction: Uterine inversion is an un-common complication of parturition which often occurs in the immediate postpartum period. The chronic (non-puerperal) uterine inversion is rarer and most times tumour associated. Presentation of Case: A 51-year old grand multiparous lady presented with a month history of abnormal vaginal bleeding associated with offensive vaginal discharge, lower abdominal pain and dizziness. The initial evaluation suggested severe anaemia secondary to advanced cervical cancer. Examination under anaesthesia (EUA), staging and biopsy was attempted but this was however inconclusive due to profuse haemorrhage. A repeat EUA revealed chronic uterine inversion secondary to fundal submucous uterine leiomyoma. Myomectomy was done with tissue histology confirming benign uterine leiomyoma. Two weeks later, a modified Haultain's procedure was done followed by simple hysterectomy and posterior colpoperineorrhaphy. She had satisfactory recovery. Discussion: This is the first reported case of chronic non-puerperal uterine inversion in our hospital. When it occurs, it is usually tumour associated with the commonest tumour being prolapsed myoma and leiomyosarcoma. The diagnosis is based on high index of suspicion. Conclusion: Chronic uterine inversion is a rare gynaecological condition and can be misdiagnosed as advanced cervical cancer or other causes of severe genital haemorrhage in women. A high index of suspicion is needed for its proper diagnosis. Sometimes, an EUA and biopsy was required to determine the cause here and conveniently it could be described as a "gynaecolological near miss". © 2013 The Authors. Published by Elsevier Ltd on behalf of Surgical Associates Ltd. All rights reserved.
Authors & Co-Authors
Umeononihu, Osita Samuel
Nigeria, Awka
Nnamdi Azikiwe University
Adinma, Joseph Ifeanyi Brian D.
Nigeria, Awka
Nnamdi Azikiwe University
Obiechina, Nworah J.A.
Nigeria, Awka
Nnamdi Azikiwe University
Eleje, George Uchenna
Nigeria, Awka
Nnamdi Azikiwe University
Udegbunam, Onyebuchi Izuchukwu
Nigeria, Awka
Nnamdi Azikiwe University
Mbachu, Ikechukwu Innocent
Nigeria, Awka
Nnamdi Azikiwe University
Statistics
Citations: 16
Authors: 6
Affiliations: 1
Identifiers
Doi:
10.1016/j.ijscr.2013.08.011
e-ISSN:
22102612
Research Areas
Cancer
Health System And Policy
Maternal And Child Health
Sexual And Reproductive Health
Participants Gender
Female