RESUMEN
A rare case of non-puerperal chronic uterine inversion secondary to sub mucous fibroid in a 38-year-old woman is presented. There was complete uterine inversion with the incarcerated inverted uterus protruding through the vvgina beyond the vulva. The sub mucous fibroid was attached to the fundus. At laparotomy, a dimple with a constriction ring was found in the position of the uterus. The distal ends of the fallopian tubes and part of the ovary were visible through the constriction ring. Histological examination of the uterus and fibroid following hysterectomy confirmed their benign nature.
Asunto(s)
Leiomioma/patología , Inversión Uterina/etiología , Neoplasias Uterinas/patología , Adulto , Enfermedad Crónica , Femenino , Humanos , Leiomioma/cirugía , Inversión Uterina/diagnóstico , Inversión Uterina/cirugía , Neoplasias Uterinas/cirugíaRESUMEN
Heterotropic pregnancy is reported infrequently in Nigeria. Two cases were managed within the span of five years with the successful delivery of a live term baby in one of the patients. A high clinical index of suspicion is required because an intra uterine gestation does not rule out a co-existing ectopic gestation especially in this region with high twinning rate and tubal disease