{"title":"Incomplete non-puerperal uterine inversion in an adolescent girl: a case report.","authors":"Shaojie Zhao, Hua Yuan, Xinkai Zhao, Juanjuan Han, Liyan Gao, Jingyao Wang, Lin Zheng, Hongying Yu, Gulijianati Maowulieti","doi":"10.1016/j.jpag.2025.01.174","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Non-puerperal uterine inversion (NPUI) is particularly rare and presents a significant diagnostic challenge. This case report describes the youngest case of incomplete NPUI, noteworthy due to the unidentified factor that triggered the uterine inversion.</p><p><strong>Case: </strong>This case report presents a retrospective analysis of a 19-year-old female patient diagnosed with incomplete uterine inversion, the main symptoms of which were vaginal bleeding, abdominal pain. Following hemostasis and broad spectrum antibiotics, the diagnosis of NPUI was confirmed through physical examination and supplementary examinations (ultrasonography and magnetic resonance imaging (MRI)). Surgical intervention involved transvaginal manual reduction, balloon hysteropexy and bilateral round ligament shortening via single-port laparoscopy.</p><p><strong>Summary and conclusion: </strong>The multidisciplinary treatment approach employed in this case offers a novel therapeutic perspective for the treatment and management of NPUI. This report emphasizes the importance of accurate diagnosis and customized treatment strategies for NPUI.</p>","PeriodicalId":16708,"journal":{"name":"Journal of pediatric and adolescent gynecology","volume":" ","pages":""},"PeriodicalIF":1.7000,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of pediatric and adolescent gynecology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.jpag.2025.01.174","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OBSTETRICS & GYNECOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Background: Non-puerperal uterine inversion (NPUI) is particularly rare and presents a significant diagnostic challenge. This case report describes the youngest case of incomplete NPUI, noteworthy due to the unidentified factor that triggered the uterine inversion.
Case: This case report presents a retrospective analysis of a 19-year-old female patient diagnosed with incomplete uterine inversion, the main symptoms of which were vaginal bleeding, abdominal pain. Following hemostasis and broad spectrum antibiotics, the diagnosis of NPUI was confirmed through physical examination and supplementary examinations (ultrasonography and magnetic resonance imaging (MRI)). Surgical intervention involved transvaginal manual reduction, balloon hysteropexy and bilateral round ligament shortening via single-port laparoscopy.
Summary and conclusion: The multidisciplinary treatment approach employed in this case offers a novel therapeutic perspective for the treatment and management of NPUI. This report emphasizes the importance of accurate diagnosis and customized treatment strategies for NPUI.
期刊介绍:
Journal of Pediatric and Adolescent Gynecology includes all aspects of clinical and basic science research in pediatric and adolescent gynecology. The Journal draws on expertise from a variety of disciplines including pediatrics, obstetrics and gynecology, reproduction and gynecology, reproductive and pediatric endocrinology, genetics, and molecular biology.
The Journal of Pediatric and Adolescent Gynecology features original studies, review articles, book and literature reviews, letters to the editor, and communications in brief. It is an essential resource for the libraries of OB/GYN specialists, as well as pediatricians and primary care physicians.