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- W2046320493 abstract "Uterine inversion occurs when the uterine fundus collapses into the endometrial cavity. It is a rare and life-threatening complication of vaginal delivery, and is even rarer in the non-gravid uterus, usually as a consequence of a polypoid uterine tumor, such as a leiomyoma, Early and accurate diagnosis of uterine inversion are therefore mandatory, for immediate intervention. This clinical situation has to be diagnosed promptly in order to prevent severe complications, like hemorrhage and shock which may lead to maternal death. We present a case of a 75 year old woman, who was referred to department due to malodorous vaginal mass associated with mild bleeding. Upon admission, a pelvic examination revealed a necrotic mass, 15 cm in diameter, protruding through the cervix and occupying the vagina, while her transvaginal ultrasound (TVS) demonstrated an intrauterine peduncle of 1.5 cm, which connected the vaginal mass to the endometrial uterine fundus. During the following day, the patient underwent a transvaginal excision of the mass, and was re-sent to a follow-up comprehensive TVS. During the later examination, with the use of three dimensional power Doppler (GE Voluson 730 expert), both uterine arteries were demonstrated in longitudinal central location along the uterine body, with a U turn sign, instead of their normal peripheral location. This diagnosis of uterine inversion was later confirmed during her subsequent surgery for abdominal hysterectomy. We suggest these findings as a unique and pathognomonic sign of uterine inversion which may contribute to an accurate diagnosis of this life threatening complication." @default.
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- W2046320493 date "2010-10-01" @default.
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- W2046320493 title "P24.18: Centralization and U turn of uterine arteries demonstrated by three dimensional power Doppler flow are new imaging signs for diagnosis of complete uterine inversion" @default.
- W2046320493 doi "https://doi.org/10.1002/uog.8646" @default.
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