Subacute Uterine Inversion with Shock A Distinct Surgical Management

Abstract

Uterine inversion is a rare but potentially life threatening obstetric emergency that leads to massive hemorrhage, shock and even maternal death. The morbidity and mortality depends on the degree of hemorrhage, the quickness in diagnosis, multidisciplinary approach and the efficacy of treatment. Hemorrhage should be vigorously treated with fluid and blood replacement. Several restorative strategies mentioned in the literature include drugs, nonsurgical maneuvers and surgical interventions. If the condition is promptly recognized before cervical ring constriction, manual repositioning of the uterus is usually successful. However, after constriction ring formation, surgical intervention becomes necessary. Here we present a case of subacute uterine inversion managed by modified Haultain`s repair.