Uterine Inversion as a Result of a Large Prolapsed Carcinosarcoma of the Uterus

J Obstet Gynaecol Can. 2019 Aug;41(8):1181-1184. doi: 10.1016/j.jogc.2018.11.007. Epub 2019 Jan 25.

Abstract

Background: Uterine inversion is most commonly seen in labour and delivery. However, it can be associated with uterine tumours, including gynaecologic malignancy.

Case: In a 66-year-old woman, uterine inversion identified at laparotomy that was found to be associated with uterine carcinosarcoma (malignant mixed mesodermal tumour) represents an unusual presentation. Surgical approach necessitated a vertical hysterotomy to amputate and deliver the uterine tumour.

Conclusion: Uterine inversion in gynaecologic oncology may be associated with sarcoma or malignant mixed mesodermal tumour. This can represent a diagnostic and surgical challenge and should be considered.

Keywords: Uterine inversion; carcinosarcoma; prolapse.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged
  • Carcinosarcoma / complications*
  • Carcinosarcoma / pathology
  • Carcinosarcoma / surgery*
  • Fatal Outcome
  • Female
  • Humans
  • Hysterotomy / methods*
  • Neoplasm Recurrence, Local
  • Tumor Burden
  • Uterine Inversion / diagnosis
  • Uterine Inversion / etiology*
  • Uterine Inversion / surgery*
  • Uterine Neoplasms / complications*
  • Uterine Neoplasms / pathology
  • Uterine Neoplasms / surgery*