case_images: PMC10896673_01
case_images: (A) Computerized tomography scan showing partial uterine inversion not protruding beyond introitus, (B) inverted uterus with infected prolapsed submucosal fibroid, (C) exploratory laparotomy showing bladder with cup-like depression over mid-pelvis confirming uterine inversion, (D) postoperative specimen.
case_images: cureus-0016-00000053071-i01.jpg
case_images: PMC10896673_01_cureus-0016-00000053071-i01.jpg
case_images: FIG1
case_images: In comparison with the abdominal scan and previous computerized tomography scan, a diagnosis of uterine inversion was made (Figure 1A). Vaginal examination revealed an inverted uterus 8x6cm with fundal attachment of submucosal fibroid measuring 4x4cm that appeared infected (Figure 1B). Exploratory laparotomy with pfannensteil skin incision was performed a cup-like depression was identified within the pelvic cavity confirming the diagnosis (Figure 1C).
case_images: PMC10896673_02
case_images: (A) Uterine inversion with grade 3 anterior vaginal wall prolapse, (B) inverted uterus with bilateral ostium and fundus, (C) inverted uterus with large enterocele, (D) vaginal hysterectomy.
case_images: cureus-0016-00000053071-i02.jpg
case_images: PMC10896673_02_cureus-0016-00000053071-i02.jpg
case_images: FIG2
case_images: Examination under anesthesia revealed a stage 3 cystocele with uterine inversion mimicking a procidentia (Figure 2A). Bilateral ostia was identified at the distal end of the prolapsed mass (Figure 2B). A vaginal hysterectomy was carried out (Figure 2D).
case_images: PMC10896673_03
case_images: Prolapsed inverted uterus with fundal fibroid.
case_images: cureus-0016-00000053071-i03.jpg
case_images: PMC10896673_03_cureus-0016-00000053071-i03.jpg
case_images: FIG3
case_images: With the help of the assistant at the vaginal end, a myomectomy was done, and the uterus was manually repositioned (Figure 3).