BACKGROUND: Uterine inversion is a rare complication of vaginal delivery. When chronic inversion is encountered it is often associated with benign or malignant tumors of the uterus. Management of chronic uterine inversion may require several standard techniques before reversion is accomplished.
CASE: A woman presented with chronic vaginal bleeding 14 weeks after vaginal delivery complicated by a fourth-degree laceration. Chronic uterine inversion was diagnosed. This diagnosis was unique due to the length of time from delivery to diagnosis and therapeutic modalities implemented.
CONCLUSION: Uterine inversion can occur in the acute (less than 24 hours) or chronic (greater than 1 month) phases. The clinician’s clue to chronic uterine inversion, as in this case, may be persistent vaginal bleeding.
Chronic uterine inversion is diagnosed after 14 weeks of postpartum vaginal bleeding.
From the 1Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, Hershey, Pennsylvania.
Corresponding author: Sharee L. Livingston, DO, Department of Obstetrics and Gynecology, Penn State Hershey Medical Center, 500 University Drive, H103, Hershey, PA 17033; e-mail: firstname.lastname@example.org.