Uterine inversion during caesarean section: a case report

Authors

  • Anjaly Raj Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
  • Kallol Kumar Roy Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
  • Rinchen Zangmo Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
  • Anshu Yadav Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
  • Nilofar Noor Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
  • Sushmita Saha Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India
  • Sonam Bairwa Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20204848

Keywords:

Uterine inversion, Caesarean section, Adherent placenta, Scarred uterus

Abstract

The present report aim to sensitise the obstetrician regarding risk of uterine inversion in a scarred uterus and the importance of immediate manual replacement. Represented case is of 40 years gravida five with previous one spontaneous abortion and previous history of three ectopic pregnancies with history of open left salpingectomy for ruptured left tubal ectopic pregnancy and history of laparoscopic right tubal clipping and uterine rupture repair for cornual pregnancy underwent an emergency caesarean section at 34 weeks. Since there were no signs of placental separation, controlled cord traction of placenta was attempted and uterine inversion was noticed. Manual replacement of uterus was done followed by manual removal of the adherent placenta. There was no postpartum haemorrhage. Inversion of uterus during caesarean section is a rare obstetric complication. If unrecognized it could lead to serious morbidity due to haemorrhage and shock. Prompt diagnosis and repositioning of the uterus are important measures in management.

Author Biographies

Kallol Kumar Roy, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India

Professor, department of Obstetrics and Gynaecology

Rinchen Zangmo, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India

Assistant Professor 

Obstetrics and Gynaecology

Anshu Yadav, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India

DM resident

Obstetrics and Gynaecology

Nilofar Noor, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India

Senior Resident

Sushmita Saha, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India

Senior Resident

Obstetrics and Gynaecology

Sonam Bairwa, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India

Junior Resident

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Published

2020-10-27

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Section

Case Reports