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Year : 2017  |  Volume : 7  |  Issue : 3  |  Page : 99-102

Acute uterine inversion complicating medical abortion in a young girl: A rare obstetric emergency

1 Department of Obstetrics and Gynaecology, King George Medical University, Lucknow, Uttar Pradesh, India
2 Department of Medicine, King George Medical University, Lucknow, Uttar Pradesh, India
3 Department of Physiology, Career Institute of Medical Sciences, Lucknow, Uttar Pradesh, India

Correspondence Address:
Prof. Rekha Sachan
Department of Obsteterics and Gynaecology, King George Medical University, Lucknow - 226 024, Uttar Pradesh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ais.ais_32_17

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Uterine inversion in young girls as a complication of medical abortion is a rare obstetric emergency, and it is very difficult to diagnose. Often inversion is associated with massive hemorrhage and shock; sometimes, it can lead to maternal death. Here, we are reporting a case of 21-year-old unmarried girl who was admitted with complete uterine inversion and shock after taking treatment for medical abortion. Initially patient's vitals were stabilized by resuscitative measures, and after that she was shifted to an operation theatre for the reposition of inversion. The manual reposition of uterine inversion was attempted under general anesthesia, but it failed. Then she was planned for correction by abdominal route. Huntington procedure was done to correct uterine inversion, and 2 units of packed red blood cells (PRBC) were transfused. She was discharged on 8th postoperative day in good condition. Early recognition and appropriate management give successful outcome in this life-threatening obstetric emergency.

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