PUERPERAL INVERSION OF ONE HORN OF A BICORNUATE UTERUS - A CASE-REPORT

BACKGROUND: Acute uterine inversion is a rare (1:2,500-25,000 deliveri es) but potentially life-threatening obstetric complication. Uterine m alformation can make it difficult to diagnose and treat this emergency . CASE: Following a normal delivery in a nullipara, laparotomy was req uired to establish the diagnosis and treat an inversion of one horn of a bicornuate uterus. CONCLUSION: Inversion of one horn of a bicornuat e uterus presents a diagnostic dilemma. When physical examination reve als a palpable abdominal ''fundus'' and a mass protruding through the cervix in a patient who is experiencing uterine hemorrhage, the cause may be inversion of one horn of a bicornuate uterus. Laparotomy may be required for definitive diagnosis and treatment.