A Neglected Case of Subacute Complete Uterine Inversion Managed by Haultain's Technique: A Rare Case

TL;DR

A rare case of complete uterine inversion was successfully managed using Haultain's technique followed by surgery.

Contribution

The paper presents a rare clinical case of subacute complete uterine inversion managed with Haultain’s method.

Findings

Subacute complete uterine inversion can be managed with Haultain’s technique followed by subtotal hysterectomy.

Delayed diagnosis and treatment can lead to severe complications like shock and hemorrhage.

Clinical diagnosis remains crucial for timely management of uterine inversion.

Abstract

Puerperal uterine inversion is a rare obstetric emergency and a potentially life-threatening condition of mismanaged third stage of labor. If not diagnosed immediately, the massive blood loss can lead to hypovolemic shock as well as neurogenic shock due to stretching of uterine nerve fibers and even maternal death. Diagnosis is mainly clinical. The diagnostic triad is hemorrhage, shock, and pain. Management includes manual uterine repositioning and correction of shock. However, in resistant or subacute cases that are rare, when a constriction ring is formed, incarceration occurs, and surgical intervention is needed to repose the uterus. We present a neglected case of rare subacute complete uterine inversion, which was managed by Haultain’s method followed by subtotal hysterectomy.

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