ArticleJournal of medical case reports2026
Reproductive preservation in non-puerperal uterine inversion from adenomyoma: a case report.
Article in Journal of medical case reports, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundNon-puerperal uterine inversion (NPUI) occurs extremely rarely and is typically associated with uterine tumors, but cases of NPUI arising from polypoid adenomyoma are even less common. The non-specific presentation of NPUI often leads to delayed diagnosis, and existing fertility-preserving surgeries lack tailoring to polypoid adenomyoma's features. CASE PRESENTATION: A 32-year-old nulliparous Asian woman presented with heavy menstrual bleeding, a prolapsing vaginal mass, and severe anemia (Hemoglobin 32 g/L). Magnetic resonance imaging confirmed NPUI. Surgical management involved vaginal traction for precise lesion localization, Haultain's procedure for uterine repositioning, and layered suturing for repair. Histopathology identified a polypoid adenomyoma. Follow-up demonstrated resolution of symptoms and return to normal menstruation.
conclusionThis optimized surgical strategy provides replicable details and references for the fertility-preserving management of rare NPUI.
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