caa a22 4500 445307609 CHVBK 20180317142618.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s00404-010-1792-7 doi (NATIONALLICENCE)springer-10.1007/s00404-010-1792-7 Ultrasound diagnosis and comprehensive surgical treatment of complete non-puerperal uterine inversion [Elektronische Daten] [Haim Krissi, Yoav Peled, Zeev Efrat, Chen Goldshmit] Introduction: Ultrasonographic diagnosis of very rare case of complete non-puerperal uterine inversion secondary to a large sub-mucous fibroid. Case report: A 50-year-old woman was admitted with heavy vaginal bleeding. Detailed vaginal and abdominal ultrasound, using color Doppler flow, raised the suspicion of complete uterine inversion. The distal ends of the fallopian tubes and part of the ovaries were demonstrated adherent to the uterine fundus. Laparoscopy showed there was no uterus inside the abdomen because of complete uterine inversion. Only a dimple with a constriction ring was found at the site of the uterus. A sub-mucous 6cm fibroid was attached to the fundus, and vaginal myomectomy was performed to reduce uterine size in order to restore the uterus to its abdominal position. However, the uterus was impacted and only cutting longitudinally the anterior and posterior fornices helped to restore the uterus and facilitate an abdominal hysterectomy. Histological examination of the uterus and fibroid following hysterectomy confirmed their benign nature. Conclusion: Ultrasonographic diagnosis of complete uterine inversion is feasible. However, high index of suspicion is necessary. Springer-Verlag, 2011 Non-puerperal uterine inversion nationallicence Sub-mucosal myoma nationallicence Krissi Haim Unit of Urogynecology, Department of Obstetrics and Gynecology, Rabin Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel aut Peled Yoav Unit of Urogynecology, Department of Obstetrics and Gynecology, Rabin Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel aut Efrat Zeev Unit of Ultrasound, Department of Obstetrics and Gynecology, Rabin Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel aut Goldshmit Chen Unit of Endoscopy, Department of Obstetrics and Gynecology, Rabin Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel aut Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 111-114 0932-0067 283<111 2011 283 404 https://doi.org/10.1007/s00404-010-1792-7 text/html Onlinezugriff via DOI 1 brief-communication jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00404-010-1792-7 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Krissi Haim Unit of Urogynecology, Department of Obstetrics and Gynecology, Rabin Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel aut NATIONALLICENCE 700 1- Peled Yoav Unit of Urogynecology, Department of Obstetrics and Gynecology, Rabin Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel aut NATIONALLICENCE 700 1- Efrat Zeev Unit of Ultrasound, Department of Obstetrics and Gynecology, Rabin Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel aut NATIONALLICENCE 700 1- Goldshmit Chen Unit of Endoscopy, Department of Obstetrics and Gynecology, Rabin Medical Center, Affiliated to Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel aut NATIONALLICENCE 773 0- Archives of Gynecology and Obstetrics Springer-Verlag 283(2011-03-01), 111-114 0932-0067 283<111 2011 283 404 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer