Postpartum subacute complete uterine inversion with incarceration of the uterus

Uterine inversion is an unusual complication of the third stage of labor, r arely presenting at a subacute time. A 37-year-old woman had a subacute inv ersion on postpartum day 10. Examination revealed an incarcerated, partiall y necrotic, complete uterine inversion. The uterus could not be replaced va ginally during the administration of halogenated anesthetic agents. At lapa rotomy, a surgical incision of the posterior uterine wall and cervical ring was necessary to reposition the uterus for subsequent hysterectomy of the incarcerated uterus. Subacute uterine inversion, accompanied by a cervical constriction ring, most likely requires repositioning by an operative appro ach, using procedures not often utilized by the practicing obstetrician/gyn ecologist.