Uterine inversion

Česká verzia

Authors: L. Mužná ¹; R. Pilka ²
Authors place of work: Porodnicko-gynekologické oddělení SZZ, Krnov ¹; Porodnicko-gynekologická klinika FN a LF UP, Olomouc, přednosta prof. MUDr. R. Pilka, Ph. D. ²
Published in the journal: Ceska Gynekol 2017; 82(2): 139-144

Summary

Aim:
Summarize the literature on the inversion of the uterus.

Design:
A review article.

Setting:
Department of Obstetrics and Gynecology, SZZ Krnov, Department of Obstetrics and Gynecology, University Hospital, Palacky University, Olomouc.

Method:
Literature review was conducted using the following key words. There were included articles published in English since 1980, from which relevant data were obtained.

Results:
In the literature the general occurrence is broad, ranging from 1:27 000 in the UK to 1:1739 in the US, where it varies greatly according to geographic location. The uterine inversion can be generally classified according to the period from birth to diagnosis, in relation to pregnancy or by anatomical degree of prolapse. From 1887 to 2006 there were only 150 cases of uterine inversion in non puerperal women recorded. In the vast majority the incidence was observed in women older than 45 years. 85% of uterine inversion was caused by benign pathology, only 15% was associated with cancer. Treatment consists of repositioning of the uterus, to which can be used in noninvasive and invasive techniques.

Conclusion:
Inversion of the uterus is a very serious and fortunately relatively rare complication in the third stage of labor, but also in non-puerperal women. This is the situation with high maternal morbidity and mortality rates, at which it can easily cause life-threatening hemorrhage, disseminated intravascular coagulation and the development of hemorrhagic and neurogenic shock. In most of cases there are no risk factor.

Keywords:
puerperal uterine inversion, non puerperal inversion of the uterus, maternal morbidity, peripartal life-threatening bleeding

Zdroje

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