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Re: Uterine inversion From: Efrain Ramirez MD (eramirez@icepr.com) Tue Oct 19 06:34:26 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: chudasama: "Re: pruritis in pregnancy" Previous message: Myer S. Bornstein, MD, CPE, FACOG: "Re: Skipping placebo's while taking COC's" In reply to: Kathi Wilson, BHSc, RM: "Re: Brachial Plexus/Erb's Palsy" Next in thread: DR.SUMITA: "Re: Uterine inversion" Steve this is what I found--just food for thought -- would you think on Vag Hyst in a 40 year old woman don't ask me if before or after the restoration of the inversion. Good luck!! [Complete non-obstetrical uterine inversion]. [Article in French] Barhmi R, Ferhati D, Nabil S, Berrada R, Fadli A, Khabach A, Achour M, Chaoui A Maternite Universitaire des Souissi, Rabat, Maroc. A rare case of a gynaecologic uterine inversion is reported emphasizing on the exceptional character of the gynecologic uterine inversion and the pathogenic problems which are tackled. Gynaecologic inversion results from a tumor implanted on fundus of the uterus or from the essential atrophy of suspension ligaments of the uterus. Treatment depends on the anatomic type and the stage. Non-puerperal uterine inversions. A two case report and review of literature. Mwinyoglee J, Simelela N, Marivate M Department of Obstetrics and Gynaecology, Medical University of Southern Africa, Medunsa, South Africa. Chronic non-puerperal uterine inversions are rare but the occasional case has to be managed without previous experience. Of the 77 cases reported, 75 (97.4%) were tumour produced and 20% of these tumours were malignant. The importance of taking biopsies from tumours before definitive surgery is highlighted. Adequate surgical management requires experience in vaginal surgery. Successful conservative treatment of acute uterine inversion in a nulliparous woman. Brown RN, Young C King's College Hospital, London, United Kingdom. At Tue, 19 Oct 99, Steve wrote: > >Today I saw something that I have never seen before. A forty year old parous >woman with only one previous pregnancy was admitted with a two week history of >a steadily increasing protrusion from the vagina. The resident diagnosed a >prolapsed fibroid and came to ask what we were to do with her. His description >of a non haemorrhagic mass outside the vagina did not fit with the cases of >prolapsed fibroid I have seen previously so I examined the patient carefully >and discovered a complete uterine inversion. At the apex of the inversion is a >4 -5 cm submucous fibroid, not pedunculated, and this is clearly the cause of >the inversion. The exposed endometrial surface of the uterus is pale pink, non >haemorrhagic and only slight indication of infection with a little pus like >mucus. The patient was sweating and grunting with respiratory distress and >also has a basal pneumonia. She has not yet given us permission to operate, >which we need to delay while her chest is treated. I propose to carry out a >procedure along the lines of something described by Kustner back in the 1870's >which involves opening into the Pouch of Douglas and incising the posterior >cervix, correcting the inversion and then repairing through the posterior >fornix incision. The fundal fibroid will be removed first. > >Anybody else seen this and if so what did you do? > >-- >Steve Raymond >Head of O & G >Empangeni Hospital >SOUTH AFRICA > -- Efrain Ramirez MD FACOG "The things you learn after you know everything are the important ones" Next message: chudasama: "Re: pruritis in pregnancy" Previous message: Myer S. Bornstein, MD, CPE, FACOG: "Re: Skipping placebo's while taking COC's" In reply to: Kathi Wilson, BHSc, RM: "Re: Brachial Plexus/Erb's Palsy" Next in thread: DR.SUMITA: "Re: Uterine inversion"

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