[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-418531-105":59,"doc-detail-418531-en":131},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":124,"head_meta":126,"extra_data":128,"updated_unix":130},105,"en","subacute-puerperal-uterine-inversion-secondary-to-a-large-uterine-myoma-a-case-report","Subacute puerperal uterine inversion secondary to a large uterine myoma - a case report","","Uterine inversion is a life-threatening obstetric emergency involving the uterine fundus turning into the endometrial cavity or beyond the cervix. Risk factors include fundal pressure, cord traction, placental disorders, and uterine atony. A rare subacute case was managed in a 36-year-old postpartum woman with fever, abdominal pain, and vaginal mass prolapse due to a giant prolapsing submucosal leiomyoma. Postpartum day 19 imaging showed a large submucosal myoma with grade I inversion, and failed manual reduction was followed by laparotomy, myomectomy, uterine restoration, and balloon tamponade, emphasizing timely MRI diagnosis and individualized surgery for fertility preservation.",{"@graph":69,"@context":123},[70,84,106],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/subacute-puerperal-uterine-inversion-secondary-to-a-large-uterine-myoma-a-case-report/418531/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/subacute-puerperal-uterine-inversion-secondary-to-a-large-uterine-myoma-a-case-report/418531.png","ImageObject",300,407,{"name":92,"@type":93},"Kyle","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-07","2026-09-28",true,{"@type":102,"interactionType":103,"userInteractionCount":105},"InteractionCounter",{"@type":104},"ViewAction",12,{"@type":107,"mainEntity":108},"FAQPage",[109,115,119],{"name":110,"@type":111,"acceptedAnswer":112},"What defines subacute uterine inversion in this case?","Question",{"text":113,"@type":114},"Uterine inversion is classified by timing; subacute refers to onset from 24 hours to 30 days postpartum. This report presents symptoms on postpartum day 19 with fever, abdominal pain, and prolapse.","Answer",{"name":116,"@type":111,"acceptedAnswer":117},"What caused uterine inversion in the reported patient?",{"text":118,"@type":114},"A giant prolapsing submucosal leiomyoma (a large degenerated submucosal myoma) served as a significant risk factor for late/subacute uterine inversion.",{"name":120,"@type":111,"acceptedAnswer":121},"How was the condition treated after manual reduction failed?",{"text":122,"@type":114},"The team performed laparotomy with myomectomy through a uterine incision, uterine restoration, and intrauterine balloon tamponade to achieve successful management.","https://schema.org",{"og:url":83,"og:type":125,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":127,"canonical":83},"index,follow",{"doc_id":129,"site_id":62},418531,1791090594,{"code":4,"msg":5,"data":132},{"doc_id":129,"user_id":133,"nickname":92,"user_avatar":134,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":105,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":39,"preview_page_count":4},3985741905716,"https://ap-avatar.wpscdn.com/davatar_994ba38a5ba835b3df7d355c54d3ed8d","Journal of Surgical Case Reports, 2026, 1, rjaf1016  \n[https://doi.org/10.1093/jscr/rjaf1016](https://doi.org/10.1093/jscr/rjaf1016)  \nCase Report  \nCase Report  \nSubacute puerperal uterine inversion secondary to a large uterine myoma: a case report  \nJuan Yang1 , 2 , 3 ,4 , Shilin Zhong1 , 2 , 3 ,4 , *, Wei Cheng2 , 3 ,4 , Yuqing Deng2 , 3 ,4 , Ying Wang2 , 3 ,4 , Yuzhen Liu2 , 3 ,4  \n1 Guangdong Medical University, No. 2 Wenming East Road, Xiashan District, Zhanjiang, Guangdong 524023, China  \n2 Center of Obstetrics and Gynecology, Peking University Shenzhen Hospital, No. 1120 Lianhua Road, Futian District, Shenzhen, Guangdong 518036, China  \n3 Institute of Obstetrics and Gynecology, Shenzhen Peking University-The Hong Kong University of Science and Technology Medical Center, No. 1120 Lianhua Road, Futian District, Shenzhen, Guangdong 518036, China  \n4 Shenzhen Key Laboratory of Early Diagnosis Technology for Female Major Diseases, No. 1120 Lianhua Road, Futian District, Shenzhen, Guangdong 518036, China  \n*Corresponding author. Guangdong Medical University, No. 2 Wenming East Road, Xiashan District, Zhanjiang, Guangdong, P.R. China, 524023 .  \nFax: +86-0755-83061340; E-mail: [zhongshilin2013@163.com](zhongshilin2013@163.com)  \nAbstract  \nUterine inversion is a life-threatening obstetric emergency characterized by the turning inside out of the uterine fundus into the endometrial cavity or beyond the cervix. Common risk factors include fundal pressure, cord traction, placental disorders, and uterine atony. We report a rare case of subacute puerperal uterine inversion caused by a giant prolapsing submucosal leiomyoma in a 36-year-old woman who presented on postpartum day 19 with fever, abdominal pain, and prolapse of a vaginal mass. Imaging revealed a large submucosal myoma and grade I uterine inversion. Initial manual reduction failed. Successful management was achieved via laparotomy, with myomectomy through a uterine incision, uterine restoration, and intrauterine balloon tamponade.A large submucosal myoma can be a significant risk factor for late puerperal uterine inversion. Timely diagnosis using magnetic resonance imaging and individualized surgical intervention are crucial for successful anatomical correction and fertility preservation.  \nKeywords: uterine inversion; postpartum; leiomyoma; myomectomy; magnetic resonance imaging  \nIntroduction  \nUterine inversion, the collapse of the uterine fundus into the endometrial cavity, is classified as acute ( \u003C24 hours), subacute (24 hours to 30 days), or chronic (>30 days) [1] . Most cases occur during the immediate puerperium [2], with approximately 83.4% being acute [3] . It is a significant cause of traumatic shock, hemorrhagic shock, and puerperal infection. Common risk factors include fundal pressure, cord traction, and placental disorders [1] . The condition often has an insidious onset and atypical manifestations, leading to potential diagnostic delays. We report a rare case of subacute puerperal uterine inversion caused by a giant prolapsing submucosal leiomyoma to enhance clinical awareness and management.  \nCase presentation  \nA 36-year-old gravida 3 para 1 woman, who had been diagnosed one year earlier with a right intramural uterine myoma (38 × 96 mm, ≥50% subserosal), presented at 39+1 weeks of gestation in her second pregnancy. Serial antenatal ultrasounds documented progressive enlargement of the myoma, which reached 111 × 89 × 92 mm prior to delivery. She underwent an uncomplicated spontaneous vaginal delivery of a healthy 3000 g infant, recovered smoothly in the immediate postpartum period, and was discharged on postpartum day 2 .  \nOn postpartum day 14, she developed a persistent high-grade fever refractory to antibiotics, with imaging showing myoma enlargement and leukocytosis. A CT scan on day 17 revealed ileocecal inflammation and uterine fluid. By postpartum day 19, she reported abdominal pain, lumbar soreness, prolapse of a vaginal mass, and vaginal bleed","cbCaioVJ3srckEoo","https://ap.wps.com/l/cbCaioVJ3srckEoo","pdf",390903,"English","# Introduction\n# Case presentation","[{\"question\":\"What defines subacute uterine inversion in this case?\",\"answer\":\"Uterine inversion is classified by timing; subacute refers to onset from 24 hours to 30 days postpartum. This report presents symptoms on postpartum day 19 with fever, abdominal pain, and prolapse.\"},{\"question\":\"What caused uterine inversion in the reported patient?\",\"answer\":\"A giant prolapsing submucosal leiomyoma (a large degenerated submucosal myoma) served as a significant risk factor for late/subacute uterine inversion.\"},{\"question\":\"How was the condition treated after manual reduction failed?\",\"answer\":\"The team performed laparotomy with myomectomy through a uterine incision, uterine restoration, and intrauterine balloon tamponade to achieve successful management.\"}]","Subacute puerperal uterine inversion secondary to a large uterine myoma - a case report | PDF",1790613517]