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Uterine inversion

MedGen UID:
57916
•Concept ID:
C0162482
•
Disease or Syndrome
Synonyms: Inversion of uterus; uterine inversion
SNOMED CT: Uterine inversion (27215002); Inversion of uterus (27215002)
 
Monarch Initiative: MONDO:0004936

Definition

A complication of obstetric labor in which the corpus of the uterus is forced completely or partially through the uterine cervix. This can occur during the late stages of labor and is associated with immediate postpartum hemorrhage. [from MONDO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVUterine inversion

Professional guidelines

PubMed

The role of ultrasound in the diagnosis and management of postpartum hemorrhage.
Mappa I, Patrizi L, Maruotti GM, Carbone L, D'Antonio F, Rizzo G
J Clin Ultrasound 2023 Feb;51(2):362-372. doi: 10.1002/jcu.23343. PMID: 36785506
Emergent obstetric management of uterine inversion.
Wendel PJ, Cox SM
Obstet Gynecol Clin North Am 1995 Jun;22(2):261-74. PMID: 7651670
Uterine leiomyomata: etiology, symptomatology, and management.
Buttram VC Jr, Reiter RC
Fertil Steril 1981 Oct;36(4):433-45. doi: 10.1016/s0015-0282(16)45789-4. PMID: 7026295

Recent clinical studies

Etiology

Obstetric emergencies.
Mirza FG, Gaddipati S
Semin Perinatol 2009 Apr;33(2):97-103. doi: 10.1053/j.semperi.2009.01.003. PMID: 19324238
Postpartum hemorrhage: abnormally adherent placenta, uterine inversion, and puerperal hematomas.
You WB, Zahn CM
Clin Obstet Gynecol 2006 Mar;49(1):184-97. doi: 10.1097/01.grf.0000197544.87808.9c. PMID: 16456355
Puerperal uterine inversion.
Awad JT, Azar GB, Karam KS
J Med Liban 1992;40(3):169-72. PMID: 1339899
Postpartum hemorrhage: placenta accreta, uterine inversion, and puerperal hematomas.
Zahn CM, Yeomans ER
Clin Obstet Gynecol 1990 Sep;33(3):422-31. doi: 10.1097/00003081-199009000-00006. PMID: 2225573
Inversio uteri puerperalis.
van Vugt PJ, Baudoin P, Blom VM, van Deursen CT
Acta Obstet Gynecol Scand 1981;60(4):353-62. doi: 10.3109/00016348109154123. PMID: 7025553

Diagnosis

Chronic incomplete non-puerperal uterine inversion due to huge submucous fibroid: diagnosis and management.
Al Qahtani NH
BMJ Case Rep 2018 Jan 29;2018 doi: 10.1136/bcr-2017-223901. PMID: 29378741Free PMC Article
Postpartum hemorrhage: abnormally adherent placenta, uterine inversion, and puerperal hematomas.
You WB, Zahn CM
Clin Obstet Gynecol 2006 Mar;49(1):184-97. doi: 10.1097/01.grf.0000197544.87808.9c. PMID: 16456355
Puerperal uterine inversion.
Awad JT, Azar GB, Karam KS
J Med Liban 1992;40(3):169-72. PMID: 1339899
Intrapartum obstetric emergencies.
Kochenour NK
Crit Care Clin 1991 Oct;7(4):851-64. PMID: 1747804
Inversio uteri puerperalis.
van Vugt PJ, Baudoin P, Blom VM, van Deursen CT
Acta Obstet Gynecol Scand 1981;60(4):353-62. doi: 10.3109/00016348109154123. PMID: 7025553

Therapy

Uterotonics and tocolytics for anesthesiologists.
Sumikura H, Inada E
Curr Opin Anaesthesiol 2016 Jun;29(3):282-7. doi: 10.1097/ACO.0000000000000332. PMID: 26974052
Acute puerperal uterine inversion.
Ihama Y, Fukasawa M, Ninomiya K, Miyazaki T
Forensic Sci Med Pathol 2014 Jun;10(2):272-4. Epub 2013 Dec 20 doi: 10.1007/s12024-013-9517-4. PMID: 24356804
Hydrostatic reduction of acute uterine inversion.
Tan KH, Luddin NS
Int J Gynaecol Obstet 2005 Oct;91(1):63-4. doi: 10.1016/j.ijgo.2005.06.006. PMID: 16040034
Non-haemorrhagic obstetric shock.
Thomson AJ, Greer IA
Baillieres Best Pract Res Clin Obstet Gynaecol 2000 Feb;14(1):19-41. doi: 10.1053/beog.1999.0061. PMID: 10789258
The use of intravenous nitroglycerin for cervico-uterine relaxation: a review of the literature.
Dufour P, Vinatier D, Puech F
Arch Gynecol Obstet 1997;261(1):1-7. doi: 10.1007/s004040050189. PMID: 9451516

Prognosis

Acute puerperal uterine inversion.
Ihama Y, Fukasawa M, Ninomiya K, Miyazaki T
Forensic Sci Med Pathol 2014 Jun;10(2):272-4. Epub 2013 Dec 20 doi: 10.1007/s12024-013-9517-4. PMID: 24356804
Postpartum hemorrhage: abnormally adherent placenta, uterine inversion, and puerperal hematomas.
You WB, Zahn CM
Clin Obstet Gynecol 2006 Mar;49(1):184-97. doi: 10.1097/01.grf.0000197544.87808.9c. PMID: 16456355
Puerperal uterine inversion.
Awad JT, Azar GB, Karam KS
J Med Liban 1992;40(3):169-72. PMID: 1339899
Postpartum hemorrhage: placenta accreta, uterine inversion, and puerperal hematomas.
Zahn CM, Yeomans ER
Clin Obstet Gynecol 1990 Sep;33(3):422-31. doi: 10.1097/00003081-199009000-00006. PMID: 2225573
Inversio uteri puerperalis.
van Vugt PJ, Baudoin P, Blom VM, van Deursen CT
Acta Obstet Gynecol Scand 1981;60(4):353-62. doi: 10.3109/00016348109154123. PMID: 7025553

Clinical prediction guides

Incidence and Clinical Implications of Placenta Accreta Spectrum after Treatment for Asherman Syndrome.
Tavcar J, Movilla P, Carusi DA, Loring M, Reddy H, Isaacson K, Morris SN
J Minim Invasive Gynecol 2023 Mar;30(3):192-198. Epub 2022 Nov 26 doi: 10.1016/j.jmig.2022.11.013. PMID: 36442752
Complete non-puerperal uterine inversion caused by uterine hemangioma: about a case report.
Abid S, Dhaou GB, Abdelmoula G, Smida AB, Abdesslem MRB, Mrad O, Derouiche M, Lassoued L
Pan Afr Med J 2022;42:156. Epub 2022 Jun 27 doi: 10.11604/pamj.2022.42.156.35583. PMID: 36187039Free PMC Article
Successful use of a Bakri Tamponade Balloon in the treatment of puerperal uterine inversion during caesarean section.
Vivanti AJ, Furet E, Nizard J
J Gynecol Obstet Hum Reprod 2017 Jan;46(1):101-102. Epub 2016 Apr 23 doi: 10.1016/j.jgyn.2016.03.009. PMID: 28403951
The use of intravenous nitroglycerin for cervico-uterine relaxation: a review of the literature.
Dufour P, Vinatier D, Puech F
Arch Gynecol Obstet 1997;261(1):1-7. doi: 10.1007/s004040050189. PMID: 9451516
Intrapartum obstetric emergencies.
Kochenour NK
Crit Care Clin 1991 Oct;7(4):851-64. PMID: 1747804

Recent systematic reviews

Fundal pressure versus controlled cord traction as part of the active management of the third stage of labour.
Peña-Martí G, Comunián-Carrasco G
Cochrane Database Syst Rev 2007 Oct 17;2007(4):CD005462. doi: 10.1002/14651858.CD005462.pub2. PMID: 17943858Free PMC Article

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