Delayed uterine inversion: Case Report

A Delayed postpartum uterine inversion is a clinical condition rarely described in the literature and its frequency varies considerably. In around 50% of the cases there is no defined casuistry or identifiable predisposing factor. The data for the preparation of the literature review were mostly inventoried from foreign articles published between 2006 and 2021. The present articlereports the case of a 25-year-old nulliparous woman admitted to the Gynecology and Obstetrics Emergency Department of Santa Casa de Araras – SP with the main complaint of urinary dysfunction (a symptom not described as a classic sign in the literature). Physical and specular examination confirmed the hypothesis of delayed postpartum uterine inversion, of 4th degree, whose diagnosis was made on the 87th day of puerperium. The taxe maneuver was used as a therapeutic strategy, which proved to be ineffective, and the Huntington’s surgical approach was indicated, with success and complete anatomical and functional recovery, without sequelae and with preservation of the patient’s reproductive capacity. Due to the scarcity of international and national articles on the subject, further studies are needed, allowing a better understanding of the triggering factors of the pathology, the formulation of strategies, protocols, prophylactic and therapeutic measures that can reduce morbidity and mortality from this event and the early identification of this pathology.