TY - JOUR
T1 - A 63-Year-Old Postmenopausal Woman with Uterine Inversion Associated with a Submucosal Geburt Fibroid Successfully Treated by Surgical Reversal Using the Spinelli Procedure
AU - Kurniawati, Eighty Mardiyan
AU - Masteryanto, Henky M.
AU - Hardianto, Gatut
AU - Paraton, Hari
AU - Hadi, Tri Hastono Setyo
N1 - Publisher Copyright:
© Am J Case Rep, 2023.
PY - 2023
Y1 - 2023
N2 - Patient: Final Diagnosis: Symptoms: Female, 65-year-old Chronic uterine inversion due to submucous leiomyoma Complaints of lower abdominal pain, difficulty in defecating, and a mass in the genitals when straining accompanied by clots of bleeding Medication: — Clinical Procedure: — Specialty: Obstetrics and Gynecology Objective: Background: Case Reports: Conclusions: Rare disease Reproductive health affects long-term quality of life, including in the elderly. Uterine inversion is common in postpartum women in developing countries and menopausal women are also at risk. A 65-year-old menopausal woman had 3 children and a history of uterine tumors and curettage. She had received a different diagnosis – a cervical tumor – exactly 3 years ago. She was admitted to a referral hospital for lower abdominal pain, difficulty in defecating, and a mass in the genitals when straining, accompanied by blood clots. There was a 20×20 cm mass protruding from the vagina, and the uterine fundus of the uterus was not palpable. The patient was diagnosed with chronic uterine inversion due to submucous leiomyoma. Management requires the collaboration of multidisciplinary professionals in hospitals. These patients receive therapy to improve their general condition, transfusions, antibiotics, and a hysterectomy plan. The results of the Urogynecology Division showed that a 20×15 cm mass came out of the vagina, with a large necrotic area. The patient was first managed by Spinelli procedure to correct the uterine inversion, followed by an abdominal hysterectomy. Histopathology revealed the final diagnosis as a benign mesenchymal lesion, leiomyoma with myxoid degeneration. Timely diagnosis and management by a multidisciplinary team can help reduce morbidity and mortality in patients with submucosal uterine leiomyoma leading to chronic uterine inversion.
AB - Patient: Final Diagnosis: Symptoms: Female, 65-year-old Chronic uterine inversion due to submucous leiomyoma Complaints of lower abdominal pain, difficulty in defecating, and a mass in the genitals when straining accompanied by clots of bleeding Medication: — Clinical Procedure: — Specialty: Obstetrics and Gynecology Objective: Background: Case Reports: Conclusions: Rare disease Reproductive health affects long-term quality of life, including in the elderly. Uterine inversion is common in postpartum women in developing countries and menopausal women are also at risk. A 65-year-old menopausal woman had 3 children and a history of uterine tumors and curettage. She had received a different diagnosis – a cervical tumor – exactly 3 years ago. She was admitted to a referral hospital for lower abdominal pain, difficulty in defecating, and a mass in the genitals when straining, accompanied by blood clots. There was a 20×20 cm mass protruding from the vagina, and the uterine fundus of the uterus was not palpable. The patient was diagnosed with chronic uterine inversion due to submucous leiomyoma. Management requires the collaboration of multidisciplinary professionals in hospitals. These patients receive therapy to improve their general condition, transfusions, antibiotics, and a hysterectomy plan. The results of the Urogynecology Division showed that a 20×15 cm mass came out of the vagina, with a large necrotic area. The patient was first managed by Spinelli procedure to correct the uterine inversion, followed by an abdominal hysterectomy. Histopathology revealed the final diagnosis as a benign mesenchymal lesion, leiomyoma with myxoid degeneration. Timely diagnosis and management by a multidisciplinary team can help reduce morbidity and mortality in patients with submucosal uterine leiomyoma leading to chronic uterine inversion.
KW - Chronic Disease
KW - Myoma
KW - Uterine Inversion
UR - http://www.scopus.com/inward/record.url?scp=85146307584&partnerID=8YFLogxK
U2 - 10.12659/AJCR.938390
DO - 10.12659/AJCR.938390
M3 - Article
C2 - 36642936
AN - SCOPUS:85146307584
SN - 1941-5923
VL - 24
JO - American Journal of Case Reports
JF - American Journal of Case Reports
M1 - e938390
ER -