Uterine Inversion
Pain
Cavernous Sinus Thrombosis
Uterine inversion caused by uterine sarcoma: a case report. (1/8)
Uterine inversion caused by uterine sarcoma is a rare condition with 12 reported cases to date according to a MEDLINE search. We report two cases of this rare condition. A 71- and a 72-year-old woman presented with uterine sarcomas rapidly extruded into the vagina. In both cases, magnetic resonance imaging (MRI) scans showed U-shaped uterine cavities and the pedicles of these tumors were attached to the uterine fundi. Pathological examination confirmed a leiomyosarcoma and a heterologous carcinosarcoma. Uterine inversion can occur when uterine sarcoma rapidly increases in size and extrudes into the vagina. MRI should be performed in the diagnosis of this rare combination. (+info)Puerperal uterine inversion and shock. (2/8)
Uterine inversion is an unusual and potentially life-threatening event occurring in the third stage of labour. It is associated with significant blood loss, and shock, which may be out of proportion to the haemorrhage, although this is questionable. When managed promptly and aggressively, uterine inversion can result in minimal maternal morbidity and mortality. A recent case is described, followed by a short review of the literature. (+info)Sonographic findings in acute urinary retention secondary to retroverted gravid uterus: pathophysiology and preventive measures. (3/8)
OBJECTIVES: To explore the pathophysiology of acute urinary retention in women with a retroverted gravid uterus and to suggest measures to prevent its recurrence. METHODS: In five women with a retroverted gravid uterus and acute urinary retention necessitating catheterization, the morphology of the genitourinary system was assessed by using transabdominal, transvaginal and introital sonography. RESULTS: In the supine resting position, the cervix was displaced superiorly and anteriorly by the impacted and retroverted uterus so that it compressed the lower bladder, leading to obstruction of the internal urethral orifice. The upper bladder extended superiorly and overlay the uterus. During straining, urethral motion was not limited and there was an average rotational angle of the bladder neck of 32 degrees, ranging from 21 degrees to 44 degrees. Increasing abdominal pressure further compressed the lower bladder. Measures suggested to the women for the prevention of urinary retention included limiting fluid intake before sleep, changing from the supine to the prone position before getting up and avoiding a Valsalva maneuver but performing a Crede maneuver during voiding. In all except one case these measures successfully prevented recurrence. CONCLUSIONS: Acute urinary retention secondary to a retroverted gravid uterus is caused by a displaced cervix compressing the lower bladder and interfering with drainage to the urethra. The urethra itself is not compressed or distorted. Understanding the pathophysiology of the lower urinary tract may allow maneuvers which prevent acute urinary retention. (+info)Septic postpartum uterine inversion. (4/8)
Puerperal uterine inversion is an uncommon but life threatening obstetrical emergency. A 26-year-old woman, para six, was referred from a peripheral hospital seven days after delivery, with a mass protruding per vaginum. Complete uterine inversion had occurred after delivery of baby and placenta. She was resuscitated and her genital infection was treated. She had a vaginal hysterectomy upon request. Her postoperative recovery was uneventful. Poor management of the third stage of labour is a common cause of uterine inversion. Early replacement of the inverted uterus is important to prevent further complications. (+info)Technique of abdominal hysterectomy for non-puerperal uterine inversion. (5/8)
(+info)Neglected puerperal inversion of the uterus: ignorance makes acute a chronic form. (6/8)
Inversion of uterus is a rare complication of vaginal delivery. The reported incidence of puerperal inversion varies from approximately 1 in 550 to 1 in several thousand normal deliveries. Maternal mortality has been reported to be as high as 15%, mainly because of associated life threatening blood loss and shock. Early diagnosis, prompt and aggressive management decrease the morbidity and mortality to minimal. We report a case of 21 year old primi, who presented to us with uterine inversion after delivery at a rural set up by untrained birth attendant ("Dai"). She was managed surgically with Haultain's operation and discharged after 5 days. She didn't turn up for follow up and was readmitted after 4 weeks with uterine reinversion associated with endometritis. A recent case is described, followed by a short review of literature. (+info)Ovulation defect and its restoration by bone marrow transplantation in osteopetrotic mutant mice of Mitf(mi)/Mitf(mi) genotype. (7/8)
Mutation within the Mitf gene causes, in microphthalmic Mitf(mi)/Mitf(mi) (mi/mi) mice, multiple defects, including white coat color and functional defects in macrophages and osteoclasts. Our previous mating experiments have demonstrated that the mi mutation reduces the numbers of newborns and induces uterine inversion at delivery. The present study was designed to determine the causes of these pregnancy defects. The histology and number of F4/80-positive macrophages were not different between the ovaries of 23-day-old mi/mi and +/+ mice given eCG 48 h earlier. When ovulation was induced in these mice by hCG, the number of ovulated ova was significantly smaller in mi/mi mice than in wild-type (+/+) mice (p < 0.05). When bone marrow cells from +/+ mice were transplanted i.p. into 42 mi/mi female newborns, successful transplantation was observed in 16 of them at 20 days after birth. In one of these, the upper incisors had erupted. The mean number of tubal ova in mi/mi mice significantly increased after transplantation (p < 0.05) and was almost equal to that of +/+ mice. No uterine inversion occurred at 6 deliveries in 5 mi/mi females after bone marrow transplantation, while it occurred at 4 of 5 deliveries in mi/mi females during the same observation period (p < 0.05). These results indicate that bone marrow-derived cells, defective in mi/mi mice, are necessary for normal ovulation and delivery; the findings are consistent with the notion that macrophages play major roles in ovulation. (+info)O'Sullivan's hydrostatic reduction of an inverted uterus: sonar sequence recorded. (8/8)
A case of acute uterine inversion which was successfully managed with hydrostatic reduction is reported. A sequence of sonograms demonstrating this is presented, as far as we are aware, for the first time. (+info)Uterine inversion is a relatively uncommon but potentially life-threatening obstetrical emergency that occurs when the uterus turns inside out and moves through the cervix into the vagina or even beyond, sometimes protruding from the vulva. This condition can cause severe bleeding due to the exposure of the rich uterine vascular supply, leading to hypovolemic shock if not promptly identified and managed. Uterine inversions are classified into four degrees based on the extent of the inversion:
1. First-degree inversion: The fundus of the uterus is inverted but remains within the cervix.
2. Second-degree inversion: The fundus protrudes through the cervix into the vagina.
3. Third-degree inversion: The fundus reaches or extends beyond the introitus (vaginal opening).
4. Complete inversion: The entire uterus is outside the body.
Uterine inversion can be caused by several factors, including rapid or forceful traction on the umbilical cord, a weakened uterine muscle due to overdistention, previous uterine surgeries, or an abnormally shaped uterus. Prompt recognition and management are crucial for successful repositioning of the uterus and preventing severe maternal morbidity and mortality.
Thrombophlebitis is a medical condition characterized by the inflammation and clotting of blood in a vein, usually in the legs. The term thrombophlebitis comes from two words: "thrombo" which means blood clot, and "phlebitis" which refers to inflammation of the vein.
The condition can occur in superficial or deep veins. Superficial thrombophlebitis affects the veins just below the skin's surface, while deep vein thrombophlebitis (DVT) occurs in the deeper veins. DVT is a more serious condition as it can lead to complications such as pulmonary embolism if the blood clot breaks off and travels to the lungs.
Symptoms of thrombophlebitis may include redness, warmth, pain, swelling, or discomfort in the affected area. In some cases, there may be visible surface veins that are hard, tender, or ropy to touch. If left untreated, thrombophlebitis can lead to chronic venous insufficiency and other long-term complications. Treatment typically involves medications such as anticoagulants, antiplatelet agents, or thrombolytics, along with compression stockings and other supportive measures.
A contusion is a medical term for a bruise. It's a type of injury that occurs when blood vessels become damaged or broken as a result of trauma to the body. This trauma can be caused by a variety of things, such as a fall, a blow, or a hit. When the blood vessels are damaged, blood leaks into the surrounding tissues, causing the area to become discolored and swollen.
Contusions can occur anywhere on the body, but they are most common in areas that are more likely to be injured, such as the knees, elbows, and hands. In some cases, a contusion may be accompanied by other injuries, such as fractures or sprains.
Most contusions will heal on their own within a few days or weeks, depending on the severity of the injury. Treatment typically involves rest, ice, compression, and elevation (RICE) to help reduce swelling and pain. In some cases, over-the-counter pain medications may also be recommended to help manage discomfort.
If you suspect that you have a contusion, it's important to seek medical attention if the injury is severe or if you experience symptoms such as difficulty breathing, chest pain, or loss of consciousness. These could be signs of a more serious injury and require immediate medical attention.
Thrombosis is the formation of a blood clot (thrombus) inside a blood vessel, obstructing the flow of blood through the circulatory system. When a clot forms in an artery, it can cut off the supply of oxygen and nutrients to the tissues served by that artery, leading to damage or tissue death. If a thrombus forms in the heart, it can cause a heart attack. If a thrombus breaks off and travels through the bloodstream, it can lodge in a smaller vessel, causing blockage and potentially leading to damage in the organ that the vessel supplies. This is known as an embolism.
Thrombosis can occur due to various factors such as injury to the blood vessel wall, abnormalities in blood flow, or changes in the composition of the blood. Certain medical conditions, medications, and lifestyle factors can increase the risk of thrombosis. Treatment typically involves anticoagulant or thrombolytic therapy to dissolve or prevent further growth of the clot, as well as addressing any underlying causes.
Venous thrombosis is a medical condition characterized by the formation of a blood clot (thrombus) in the deep veins, often in the legs (deep vein thrombosis or DVT), but it can also occur in other parts of the body such as the arms, pelvis, or lungs (pulmonary embolism).
The formation of a venous thrombus can be caused by various factors, including injury to the blood vessel wall, changes in blood flow, and alterations in the composition of the blood. These factors can lead to the activation of clotting factors and platelets, which can result in the formation of a clot that blocks the vein.
Symptoms of venous thrombosis may include swelling, pain, warmth, and redness in the affected area. In some cases, the clot can dislodge and travel to other parts of the body, causing potentially life-threatening complications such as pulmonary embolism.
Risk factors for venous thrombosis include advanced age, obesity, smoking, pregnancy, use of hormonal contraceptives or hormone replacement therapy, cancer, recent surgery or trauma, prolonged immobility, and a history of previous venous thromboembolism. Treatment typically involves the use of anticoagulant medications to prevent further clotting and dissolve existing clots.
Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. It is a complex phenomenon that can result from various stimuli, such as thermal, mechanical, or chemical irritation, and it can be acute or chronic. The perception of pain involves the activation of specialized nerve cells called nociceptors, which transmit signals to the brain via the spinal cord. These signals are then processed in different regions of the brain, leading to the conscious experience of pain. It's important to note that pain is a highly individual and subjective experience, and its perception can vary widely among individuals.
Cavernous sinus thrombosis is a medical condition that refers to the formation of a blood clot (thrombus) in the cavernous sinuses, which are located near the base of the brain and are important for draining blood from the face and brain. This condition can occur as a complication of an infection in the facial area or sinuses, or it can be associated with other medical conditions such as cancer or trauma.
Symptoms of cavernous sinus thrombosis may include headache, fever, eye pain, swelling or bulging of the eyes, double vision, and decreased vision. If left untreated, this condition can lead to serious complications such as meningitis, brain abscess, or even death. Treatment typically involves administering antibiotics to treat any underlying infection and anticoagulants to prevent further clot formation. In some cases, surgery may be necessary to remove the clot.
In medical terms, the foot is the part of the lower limb that is distal to the leg and below the ankle, extending from the tarsus to the toes. It is primarily responsible for supporting body weight and facilitating movement through push-off during walking or running. The foot is a complex structure made up of 26 bones, 33 joints, and numerous muscles, tendons, ligaments, and nerves that work together to provide stability, balance, and flexibility. It can be divided into three main parts: the hindfoot, which contains the talus and calcaneus (heel) bones; the midfoot, which includes the navicular, cuboid, and cuneiform bones; and the forefoot, which consists of the metatarsals and phalanges that form the toes.
Uterine inversion
Jerusha Jhirad
Alex Comfort
Vagina
Emergency childbirth
Uterine atony
Mona Chalmers Watson
List of MeSH codes (C13)
17α-Ethynyl-3β-androstanediol
Uterus
Preimplantation genetic diagnosis
Gender-affirming surgery
Nd:YAG laser
List of MeSH codes (C23)
Vaginoplasty
Sexual orientation
List of Berserk characters
Mutagen
La Fábula de Polifemo y Galatea
Uterine inversion - Wikipedia
WikiGenes - Uterine Inversion
Malposition of the Uterus: Overview, Uterine Retroversion or Incarceration, Uterine Torsion
Uterine Inversion - Women's Health Issues - MSD Manual Consumer Version
Acute prolapse of giant submucosal fibroid polyp mimicking uterine inversion- A rare case report
Uterine Sarcoma Presenting in the Setting of Non-puerperal Uterine Inversion with Uterine Prolapse | Scitechnol
Non-puerperal uterine inversion caused by malignant mixed mullerian sarcoma. | BMJ Case Rep;20132013 Dec 12. | MEDLINE
Case reports
Overview and medical management of pph | PPT
Page 1 | Search Results | Gynecologic and Obstetric Investigation | Karger Publishers
Gravidity, Parturition and Puerperium in the Bitch and Queen - WSAVA 2003 Congress - VIN
Postpartum Hemorrhage | Denver Health
Searching for "acute" - SMART Imagebase
Current issue Czech Gynaecology | proLékaře.cz
Search Publications | ResearchGate
Non-surgical Approaches to Refractory PPH | Article | GLOWM
Key Obstetrics & Gynecology Clinical Practice Guidelines in 2017
Malposition of the Uterus: Overview, Uterine Retroversion or Incarceration, Uterine Torsion
Vaginal Breech Birth | Obcast
General/Environmental Key Considerations - Hudson Valley Regional Emergency Medical Services Council
"If there hadn't been blood for me, then I might not be here with my children" O negative - NHS Blood...
postpartum hemorrhage Archives - Emergency Medicine Cases
Mature cystic teratoma of the uterus presenting as an endometrial polyp
Thrombophlebitis and Thrombosis in Postpartum - RNpedia
Other Conditions Archives - The Pulse
Charley Turton - 12 King's Bench Walk
My African Midwifery Adventure - Day 2 - first day in the Hospital & Observing a footling breech! - A Girl On A Journey
Vol. 2 No. 3 (2013): July-September 2013 | International Journal of Reproduction, Contraception, Obstetrics and...
Uterus13
- Uterine inversion is when the uterus turns inside out, usually following childbirth. (wikipedia.org)
- Among healthy women, 1 in 5 have a retroverted uterus either as a normal variant of uterine position or as an acquired condition. (medscape.com)
- Fixation of the uterus by adhesions is a risk factor for the rare pregnancy complications of uterine torsion, incarceration, or sacculation. (medscape.com)
- This is an aneurysmal-like dilatation of the most superior portion of the uterine wall that permits the uterus to enlarge with the consequence of major anatomic distortion. (medscape.com)
- Uterine inversion is a rare medical emergency during childbirth in which the uterus turns inside out and protrudes through the cervix and into or through the vagina. (msdmanuals.com)
- Herein, we present a case of a non-puerperal uterine inversion in the setting of a uterine sarcoma that was accompanied by complete prolapse of the uterus into the vagina. (scitechnol.com)
- Bimanual uterine compression involves one hand internally putting upward pressure on the uterus, while the external hand puts pressure on the fundus through the abdomen. (glowm.com)
- After ensuring proper antiseptic preparation, the operator should introduce her gloved hand into the vagina, form a fist, and press upward on the lower uterus whilst pressing the uterine fundus with the external hand in the direction of the symphysis pubis. (glowm.com)
- In cases in which postpartum hemorrhage is caused by uterine atony, uterotonics (which induce contraction of the uterus) should be first-line treatment. (medscape.com)
- When the uterine contour is distorted by a müllerian anomaly or a strategically placed leiomyoma, or an inflammatory process has occurred in the past (eg, endometriosis or salpingitis with pelvic adhesions), the uterus may become fixed in retroversion/retroflexion and lose its normal mobility. (medscape.com)
- Once I had been stabilised, and had a uterine balloon inserted to help prevent a further bleed, I had a uterine inversion where my uterus spontaneously turned inside out and I lost a further two litres of blood. (blood.co.uk)
- Uterine atony, a condition in which the uterus fails to contract following the delivery of the placenta, accounts for most cases of maternal hemorrhage. (injuryfrombirth.com)
- Delayed uterine atony or placental fragments prevent the uterus from contracting effectively. (rnpedia.com)
Puerperal5
- Acute puerperal uterine inversion: two-step management with a beta-mimetic and a prostaglandin. (wikigenes.org)
- Puerperal uterine inversion occurs in approximately one out of every 30,000 vaginal deliveries . (scitechnol.com)
- Although the most common cause of non-puerperal uterine inversion is a leiomyoma, a high index of suspicion for a coexisting malignancy must be maintained. (scitechnol.com)
- Non puerperal uterine inversions resulting from mixed mullerian uterine sarcoma are rare. (bvsalud.org)
- pregnancy outcome after operative correction of puerperal uterine inversion . (lookfordiagnosis.com)
Rupture3
- In some people, uterine inversion or uterine rupture may also be a cause. (denverhealth.org)
- These images are a random sampling from a Bing search on the term "Uterine Rupture. (fpnotebook.com)
- Less likely causes include uterine inversion and uterine rupture. (limmereducation.com)
Atony3
- Other risk factors include uterine atony, placenta previa, and connective tissue disorders. (wikipedia.org)
- Early postpartum hemorrhage, which is usually due to uterine atony, lacerations, or retained placental fragments, occurs in the first 24 hours after delivery. (rnpedia.com)
- Used for prevention and treatment of postpartum or postabortion hemorrhage caused by uterine atony or subinvolution. (rnpedia.com)
Prolapse2
- Uncommonly, obstetric complications result from acute or chronic changes in uterine shape or position prior to labor (retroversion or incarceration, prolapse, torsion, herniation or sacculation), during labor (pathologic retractions rings), or postpartum (acute or chronic inversion). (medscape.com)
- Observational studies have shown a possible association of uterine prolapse with uterine retroversion. (medscape.com)
Postpartum3
- Uterine inversion is often associated with significant postpartum bleeding. (wikipedia.org)
- Three components for active management of the third stage of labor can help reduce the incidence of postpartum hemorrhage: oxytocin administration, uterine massage, and umbilical cord traction. (medscape.com)
- In this CritCases blog - a collaboration between STARS Air Ambulance Service, Mike Betzner and EM Cases, Dr. James Brokenshire presents a case of acute unstable Uterine Inversion and discusses key therapeutic maneuvers including the Johnson Maneuver, tocolytics and resuscitation of postpartum hemorrhage. (emergencymedicinecases.com)
Hemorrhage1
- 3 Hemorrhage from trauma typically is induced by uterine, cervical, perineal or vaginal lacerations. (limmereducation.com)
Cervix3
- Some submucousal myomas become pedunculated in the uterine cavity, dilate the cervix and protrude into the vagina. (ipindexing.com)
- Leiomyomas of the uterine cervix are uncommon. (lookfordiagnosis.com)
- Bimanual examination was notable for the presence of a large firm mass fixed to the uterine cervix. (lookfordiagnosis.com)
Acute4
- When uterine retroversion with incarceration develops for any reason during pregnancy, acute symptoms and serious complications are possible, and initial misdiagnosis is frequent. (medscape.com)
- In only about 2% of uterine retroversions diagnosed during the first trimester does the condition progress to incarceration associated with urinary retention or other acute symptoms. (medscape.com)
- Attended and presented a poster on Acute Total Uterine Inversion. (clinicone.com.np)
- Shrestha R , Shrestha SD, Malla AP, Pradhan R, Pradhan B, RC L. Acute Total Uterine Inversion: A Life-Threatening Obstetric Emergency. (clinicone.com.np)
Fundus1
- In cases where time has elapsed between delivery and presentation, the inversion ring may have become too tight to allow manual reposition of the fundus. (lookfordiagnosis.com)
Chronic2
- The resort to surgery for the correction of chronic uterine retroversion in the absence of distinct pathologic process (eg, endometriosis , other inflammatory condition) has fallen into appropriate disrepute. (medscape.com)
- Most uncommonly, cases of chronic uterine retroversion/incarceration develop uterine sacculation. (medscape.com)
Occurs3
- Uterine inversion occurs in about 1 in 2,000 to 1 in 10,000 deliveries. (wikipedia.org)
- During this phase, repairing of the uterine lining occurs to create an environment for an embryo to grow. (neeluprajapat.com)
- If pregnancy occurs, the fertilized egg gets implanted in the uterine lining. (neeluprajapat.com)
Pregnancy5
- Rarely inversion may occur not in association with pregnancy. (wikipedia.org)
- Intermittent myometrial contractions and changes in uterine shape and position are normal during pregnancy . (medscape.com)
- Uterine retroversion and incarceration progressing to sacculation as pregnancy advances. (medscape.com)
- Based on compiled clinical reports and the author's experience, the diagnosis and management of the principal types of both benign and pathologic uterine malpositionings that occur during pregnancy are described in this review. (medscape.com)
- During early pregnancy, uterine retroversion is a normal positional variant. (medscape.com)
Tumor1
- it is almost always associated with a polypoid uterine tumor. (scitechnol.com)
Complications1
- A systematic review found that the incidence of complications, such as premature delivery, need for cesarean section, and poor perinatal outcomes, was lower among cases of uterine incarceration that were diagnosed before 20 weeks of gestation. (medscape.com)
Severe1
- Uterine inversion can cause severe blood loss that may be life threatening. (msdmanuals.com)
Ovaries2
- They usually arise in the ovaries but can be extragonadal, with uterine location exceedingly rare. (indexindex.com)
- Changes take place in the ovaries and uterine wall due to changes in the hormones in the blood. (neeluprajapat.com)
Bradycardia1
- The parasympathetic effect of traction on the uterine ligaments may cause bradycardia. (wikipedia.org)
Complication1
- However, if retroversion persists into the midtrimester, uterine incarceration is possible, but the likelihood of this complication is low. (medscape.com)
Abdominal1
- Endometriosis is a condition where portions of the uterine lining lodge somewhere within the abdominal cavity. (naturopathtoronto.ca)
Symptoms2
- Uterine retroversion in nonpregnant women is now recognized as a normal variant that, in most cases, does not result in symptoms. (medscape.com)
- Negligent mismanagement of the third stage of labour, leading to uterine inversion, massive obstetric haemorrhage and permanent symptoms of urinary incontinence. (12kbw.co.uk)
Blood2
- I was still bleeding for a while after the birth and the uterine inversion, but not haemorrhaging, and I kept having to have more transfusions because my blood levels were so low. (blood.co.uk)
- 1. Mix anticoagulated blood containing vacutainers by inversion before starting. (who.int)
Review1
- A review of the approaches to correct uterine inversion is presented. (lookfordiagnosis.com)
Mass2
- A reactive brain edema was seen around the mass on the axial T2 and coronal fluid-attenuated inversion recovery sequences, which is not a typical feature of macroadenoma and could suggest, although rather nonspecific, an unusual lesion. (medscape.com)
- A) Axial, (B) coronal, and (C and D) sagittal sections of (A) T2 fluid-attenuated inversion recovery, (B) T2, (C) T1 pregadolinium, and (D) postgadolinium, showing a 4-cm heterogeneous enhancing sellar and suprasellar lesion, with substantial mass effect to the chiasma and third ventricle. (medscape.com)
Birth1
- If PA is progressing normally, uterine activity is clearly recognizable and the foetal membranes are bulging into the birth canal. (vin.com)