Postpartum acute intrauterine inversion: A case report

产后急性宫内翻:病例报告

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Abstract

RATIONALE: Uterine inversion is a rare and dangerous obstetric emergency, often occurring in the third stage of labor and leading to severe postpartum hemorrhage. It is less common in low-risk pregnant women, yet its prompt management is crucial. This case report fills a gap in the literature by presenting a rare instance in a low-risk young female, offering clinical insights. PATIENT CONCERNS: A low-risk young female had sudden uterine inversion during the third stage of vaginal delivery, with persistent bleeding from the placental site, causing distress and posing an immediate health threat. DIAGNOSES: Physical examination revealed an abnormal uterine position and inability to contract normally, leading to a diagnosis of severe postpartum hemorrhage due to uterine inversion. INTERVENTIONS: Immediate medical intervention was carried out to reposition the inverted uterus and control bleeding. After the correction, appropriate measures were taken to ensure stability and prevent complications. OUTCOMES: The patient's condition was successfully managed, with the inversion corrected and bleeding stopped. Follow-up showed significant improvement and no long-term complications. LESSONS: This case emphasizes vigilance for rare complications even in low-risk pregnancies and the need for prompt, coordinated intervention. It contributes to knowledge on uterine inversion management for researchers and clinicians.

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