Abstract

Inversion of the uterus is a rare clinical condition Further chronic non-puerperal uterine inversion is a still rare clinical entity with very few clinicians encountering it Intra-uterine tumours especially large fundal submucosal leiomyomas are the usual precipitating factors Due to its extremely rare occurrence it may pose a diagnostic as well as surgical challenge for the gynaecologist Correct diagnosis based on clinical findings diagnostic modalities like Ultrasonography USG and Magnetic Resonance Imaging MRI careful preoperative planning appropriate surgical procedure are imperative for a successful outcome We propose certain recommendations for diagnosis and management of chronic non puerperal uterine inversion associated with a large prolapsed fundal submucosal fibroid accurate diagnosis commencing with strong clinical suspicion confirmation with advanced diagnostic modalities is the cornerstone of management HYSTERECTOMY is difficult with the grossly distorted anatomy A well planned and carefully executed surgery ensures a good outcome with minimum morbidity