case_images: PMC11365529_01
case_images: Surgical Details and Specimen of Case #1 (a) mass presentation at the introitus, (b and c) Pre- and post-Haultain procedure, (d) resected mass.
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case_images: In theatre, a double approach surgery was chosen (Figure 1).
case_images: PMC11365529_02
case_images: Surgical Detail and Specimen of Case #2. (a) presentation at the vaginal introitus, (b) resected mass (fibroid and adenomyosis).
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case_images: In theatre, the solid mass was excised and sent for frozen section, which came back for fibroid and adenomyosis (Figure 2).
case_images: PMC11365529_03
case_images: Surgical Detail and Specimen of Case #3, (a) large mass at the introitus, (b) ovarian cyst, (c) vaginal introitus after resection, (d) surgical specimens removed.
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case_images: In theatre, the pedunculated fibroid was excised, and the uterus was repositioned back into the abdominal cavity (Figure 3).
case_images: PMC11365529_04
case_images: Surgical Detail and Specimen of Case #4. (a) The flower-vase appearance, describing an inverted uterus, (b) Huntington procedure performed, (c) uterus after hysterectomy.
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case_images: In theatre, a non-puerperal uterine inversion was confirmed (Figure 4).
case_images: PMC11365529_05
case_images: Surgical Details and Specimen of Case #5. (a)The flower-vase appearance at laparotomy, characteristic of inverted uterus, (b and c) Right and left ovaries were normal, (d) Fibroid (top) with uterus and bilateral adnexae (bottom).
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case_images: In theatre, uterine inversion was confirmed through the appearance of ovaries and tubes projecting out of the indented uterine fundus (the "flower vase appearance") (Figure 5).