Uterus-sparing laparoscopic reversal of complete nonpuerperal uterine inversion: a rare case and challenging procedure.
Athanasios Protopapas, Nikolaos Kathopoulis, Athanasios Douligeris et al.
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Case in brief
A 24-year-old woman with a history of granulosa-cell ovarian tumor presented with severe uterine bleeding due to a necrotic mass. Laparoscopy revealed complete uterine inversion, which could not be corrected initially. After referral, the inversion was successfully reversed using a combination of laparoscopic and vaginal techniques, including incisions to relieve cervical constriction. The patient achieved anatomical restoration of the uterus and reported improved menstrual cycles at follow-up.
What made this case unusual
This case highlights the successful laparoscopic reversal of complete uterine inversion in a nonpregnant patient, a rare and complex procedure that emphasizes the importance of uterine preservation.
Diagnostic / clinical pearl
Clinicians should consider uterine inversion as a potential complication in cases of severe uterine bleeding, even in nonpregnant patients.
Why it matters
This case underscores the feasibility of laparoscopic techniques in managing rare gynecological emergencies while preserving fertility.