Non-puerperal uterine inversion in a patient with intracranial sigmoid sinus thrombosis and facial palsy

BMJ Case Rep. 2015 May 12:2015:bcr2014206937. doi: 10.1136/bcr-2014-206937.

Abstract

Non-puerperal uterine inversion and cranial nerve palsies in patients with sigmoid sinus thrombosis are both extremely rare. We report a case of a patient who presented with both simultaneously. The symptoms of sigmoid sinus thrombosis resolved with subcutaneous enoxaparin, and an abdominal dissection with removal of the uterus vaginally resulted in a successful outcome for the patient.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Anticoagulants / administration & dosage
  • Anticoagulants / therapeutic use*
  • Cranial Sinuses / pathology*
  • Drug Administration Schedule
  • Enoxaparin / administration & dosage
  • Facial Paralysis / etiology*
  • Female
  • Headache / etiology
  • Humans
  • Hysterectomy / methods
  • Leiomyoma / complications
  • Leiomyoma / diagnosis*
  • Leiomyoma / surgery*
  • Sinus Thrombosis, Intracranial / complications
  • Sinus Thrombosis, Intracranial / diagnosis*
  • Sinus Thrombosis, Intracranial / drug therapy
  • Treatment Outcome
  • Uterine Inversion / diagnosis*
  • Uterine Inversion / pathology
  • Uterine Inversion / surgery
  • Uterine Neoplasms / complications
  • Uterine Neoplasms / diagnosis*
  • Uterine Neoplasms / pathology
  • Uterine Neoplasms / surgery*
  • Warfarin / administration & dosage

Substances

  • Anticoagulants
  • Enoxaparin
  • Warfarin