Complete non-puerperial uterine inversion is rare and when present is usual
ly associated with a prolapsed submucous fibroid. The inversion in this cas
e was associated with a uterine sarcoma in an 88 year old diabetic patient,
gravida 13, who presented with a four month history of intermittent vagina
l bleeding. She was successfully managed with a total abdominal hysterectom
y and some of the difficulties with diagnosis and management are highlighte
d.