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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

Uterine Inversion: A Review of a Life-Threatening Obstetrical Emergency.
Wendel MP, Shnaekel KL, Magann EF
Obstet Gynecol Surv 2018 Jul;73(7):411-417. doi: 10.1097/OGX.0000000000000580. PMID: 30062382
Obstetric emergencies.
Mirza FG, Gaddipati S
Semin Perinatol 2009 Apr;33(2):97-103. doi: 10.1053/j.semperi.2009.01.003. PMID: 19324238
Red alert: perinatal hemorrhage.
MacMullen NJ, Dulski LA, Meagher B
MCN Am J Matern Child Nurs 2005 Jan-Feb;30(1):46-51. PMID: 15622149
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
Puerperal uterine inversion.
Awad JT, Azar GB, Karam KS
J Med Liban 1992;40(3):169-72. PMID: 1339899

Diagnosis

U-turn of uterine arteries: a novel sign pathognomonic of uterine inversion.
Zohav E, Anteby EY, Grin L
J Ultrasound 2020 Mar;23(1):77-79. Epub 2018 Oct 3 doi: 10.1007/s40477-018-0319-0. PMID: 30284197Free PMC Article
Uterine Inversion: A Review of a Life-Threatening Obstetrical Emergency.
Wendel MP, Shnaekel KL, Magann EF
Obstet Gynecol Surv 2018 Jul;73(7):411-417. doi: 10.1097/OGX.0000000000000580. PMID: 30062382
Postpartum ultrasound: postpartum assessment using ultrasonography.
Oba T, Hasegawa J, Sekizawa A
J Matern Fetal Neonatal Med 2017 Jul;30(14):1726-1729. Epub 2016 Aug 30 doi: 10.1080/14767058.2016.1223034. PMID: 27578054
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
Puerperal uterine inversion.
Awad JT, Azar GB, Karam KS
J Med Liban 1992;40(3):169-72. PMID: 1339899

Therapy

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
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
Sonographic and MR features of puerperal uterine inversion.
Thakur S, Sharma S, Jhobta A, Aggarwal N, Thakur CS
Jpn J Radiol 2014 Jun;32(6):356-9. Epub 2014 Mar 12 doi: 10.1007/s11604-014-0303-3. PMID: 24619161
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
Emergent obstetric management of uterine inversion.
Wendel PJ, Cox SM
Obstet Gynecol Clin North Am 1995 Jun;22(2):261-74. PMID: 7651670

Prognosis

Uterine Inversion as a Result of a Large Prolapsed Carcinosarcoma of the Uterus.
Kean SL, Altman AD
J Obstet Gynaecol Can 2019 Aug;41(8):1181-1184. Epub 2019 Jan 25 doi: 10.1016/j.jogc.2018.11.007. PMID: 30686610
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
Emergent obstetric management of uterine inversion.
Wendel PJ, Cox SM
Obstet Gynecol Clin North Am 1995 Jun;22(2):261-74. PMID: 7651670
Puerperal uterine inversion.
Awad JT, Azar GB, Karam KS
J Med Liban 1992;40(3):169-72. PMID: 1339899
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
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
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 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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