Prutha Prakash Kalyani
Dr.Shankarrao Chavan Government Medical College and Hospital, IndiaPresentation Title:
Non-puerperal total uterine inversion: An unusual gynecological case managed with vaginal hysterectomy
Abstract
Uterine inversion during puerperium is an
obstetric emergency, and it is an even rarer complication posing a diagnostic
challenge in gynaecology. Non puerperal uterine inversion is mostly associated
with benign uterine pathology such as leimyomas. Treatment depends on the
associated pathology and stage of inversion. A rare case of acute non-puerperal
total uterine inversion caused by multiple fundal leiomyomas in a 47-year-old
woman resulting in profuse vaginal bleeding is reported; it was successfully treated
by vaginal hysterectomy. The postoperative period was uneventful, and the
patient was discharged in good condition. Acute complete uterine inversion is
rare in non-pregnant women, and there are only a few reported cases worldwide.
It therefore poses a diagnostic dilemma to the unsuspecting gynaecologist, and
therefore a high index of suspicion is needed to differentiate it from
uterovaginal prolapse or a prolapsed fibroid, as the clinical presentations can
be similar.
Biography
Prutha Kalyani has completed her
MBBS from Government Medical College, Dhule, India and is currently working as
a 3rd year Resident doctor in Dept. of Obstetrics and Gynecology, at
Dr. SCGMC, Nanded, India. Along with her guide , Dr. Shirish Dulewad, she has
operated on a number of rare and challenging cases, including uterine
inversion, placenta accreta spectrum, large fibroids, carcinoma cervix, and
laparoscopic procedures. She aspires to
explore more in the field of obstetrics and gynecology and strives to reduce
the maternal mortality rate in India.
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