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Postmenopausal Uterine Inversion Associated With Endometrial Polyps

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, Alabama

Address reprint requests to: Warner K. Huh, MD, Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Old Hillman Building—Room 538, 618 South 19th Street, Birmingham AL 35233; E-mail: whuh{at}uab.edu.

ABSTRACT

BACKGROUND: Postmenopausal uterine inversion is an extremely rare gynecologic complication. We report a case of uterine inversion associated with endometrial polyps alone.

CASE: A postmenopausal nullipara with a history of recurrent postmenopausal bleeding was evaluated for persistent vaginal bleeding. Benign endometrial polyps were found, and the patient’s symptoms improved after a therapeutic dilation and curettage. She had acute onset of profuse vaginal bleeding 3 months later and a mass protruded from the cervix. A laparotomy revealed an inverted uterus that was resolved by the Haultain technique and was followed by total abdominal hysterectomy.

CONCLUSION: Nonpuerperal uterine inversion associated with endometrial polyps was successfully treated surgically.