Nonpuerperal uterine inversion caused by an adenosarcoma: A case report.

Autor:	Belghith C; University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunis, Tunisia.; Charles Nicolle University Hospital of Tunis, Department A of Gynecology and Obstetrics, 1006, Tunis, Tunisia., Abdelmoula G; Charles Nicolle University Hospital of Tunis, Department A of Gynecology and Obstetrics, 1006, Tunis, Tunisia.; University of Sousse, Faculty of medicine of Sousse, 4000, Sousse, Tunisia., Garci M; University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunis, Tunisia.; Charles Nicolle University Hospital of Tunis, Department A of Gynecology and Obstetrics, 1006, Tunis, Tunisia., Ghali Z; University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunis, Tunisia.; Charles Nicolle University Hospital of Tunis, Department A of Gynecology and Obstetrics, 1006, Tunis, Tunisia., Armi S; University of Sousse, Faculty of medicine of Sousse, 4000, Sousse, Tunisia.; Regional hospital of Kasserine, Department of gynecology and obstetrics, 1200, Kasserine, Tunisia., Makni M; University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunis, Tunisia.; Charles Nicolle University Hospital of Tunis, Department A of Gynecology and Obstetrics, 1006, Tunis, Tunisia., Dhieb F; University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunis, Tunisia.; Charles Nicolle university hospital, Department of radiology, 1006, Tunis, Tunisia., Boumediene M; University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunis, Tunisia.; Charles Nicolle university hospital, Department of radiology, 1006, Tunis, Tunisia., Jrad M; University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunis, Tunisia.; Charles Nicolle university hospital, Department of radiology, 1006, Tunis, Tunisia., Mathlouthi N; University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunis, Tunisia.; Charles Nicolle University Hospital of Tunis, Department A of Gynecology and Obstetrics, 1006, Tunis, Tunisia., Slimani O; University of Tunis El Manar, Faculty of Medicine of Tunis, 1007, Tunis, Tunisia.; Charles Nicolle University Hospital of Tunis, Department A of Gynecology and Obstetrics, 1006, Tunis, Tunisia.
Jazyk:	angličtina
Zdroj:	La Tunisie medicale [Tunis Med] 2024 Feb 05; Vol. 102 (2), pp. 116-118. Date of Electronic Publication: 2024 Feb 05.
DOI:	10.62438/tunismed.v102i2.4352
Abstrakt:	Introduction: Eighty-five per cent of uterine inversions are puerperal. Non-puerperal uterine inversion is usually caused by tumours that exert a traction force on the fundus of the uterus. This causes the uterus to be partially or completely inverted. It is commonly related to benign tumours like submucosal leiomyomas. Nevertheless, malignancies are an infrequent association. Case Presentation: We report a case of a 35-year-old female patient, medically and surgically free, gravida0 para0, complaining of menometrorrhagia associated with pelvic pain for 2 years. A suprapubic ultrasound scan showed an enlarged, globular uterus with a heterogeneous, undefined mass of 49 mm in size. MRI scan showed the appearance of a U-shaped uterine cavity and a thickened inverted uterine fundus with an endometrial infiltrating mass of 25 mm. Intraoperative exploration showed uterine inversion involving the ovaries; the fallopian tubes and the round ligaments and a necrotic intracavitary mass. The malignancy of the tumor was confirmed through anatomopathological examination as Adenosarcoma. Conclusions: Uterine inversion is rare outside the puerperal period, and malignant etiology must not be overlooked. Therefore, comprehensive care with meticulous etiological investigation is crucial.
Databáze:	MEDLINE
Externí odkaz:	Zobrazit plný text záznamu