Dr. Jyothi Harish Rao*


Inversion of uterus is a rare clinical diagnosis and non puerperal inversion is still uncommon, accounting for one-sixth of all cases of uterine inversion.[1,2] The fact that many gynaecologists may not encounter in their clinical practice indicates its rarity and remains a diagnostic challenge to gynaecologist.[3] Case presentation: A 43 year old lady presented to our emergency centre with complaints of excessive vaginal bleeding of 10 days duration. She gave history of menorrhagia of one year duration along with white discharge per vagina. She is P1L1 with history of caesarean section 4 years back. She had no significant past social history and no known drug allergies and was not on any medication. On admission, her vitals were within normal limits except for severe pallor. Abdomen and local examination was normal. Per speculum examination revealed a circumscribed mass of 8-10 cm, beefy red colour bleeding on touch and extending upto mid vagina. Cervix could not be visualised. On pelvic examination uterus could not be made out and cervix not palpated. Differential diagnosis of uterine fibroid, sarcoma, endometrial polyp, uterine inversion was made. Ultrasound revealed fibroid in lower uterine segment.

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