Chronic Idiopathic Non Puerperal Uterine Inversion: Case Report

We present the case of a 50-year-old patient with type 2 diabetes, who had two late abortions on a cervical insufficiency and a premature delivery at 34 weeks of amenorrhea following a cervical cerclage The patient was referred to our clinic for chronic pelvic pain and a mass in the vagina that had been present for one year. Upon examination, we noted a mass externalised at the vulva, with no visualisation of the external foramen of the cervix and no palpation of the uterine fundus. A suprapubic ultrasound confirmed the absence of the uterus in pelvic position, leading to a diagnosis of complete uterine inversion. The patient underwent a total vaginal hysterectomy with simple postoperative management. An anapathological examination confirmed the diagnosis of idiopathic uterine inversion.