Non‐puerperal inversion of the uterus caused by leiomyosarcoma: A case report and clinical management

Uterine inversion is a rare complication of the postpartum period, but it is an even rarer complication of the non‐puerperal period. A 49‐year‐old nulliparous woman was admitted to the hospital with the following complaints: abnormal vaginal bleeding, pain, anuria and a mass protruding from the vulva. The mass was removed by twisting and a laparotomy was required for massive bleeding due to the inversion. The diagnosis of complete inversion was made during the laparotomy. Total abdominal hysterectomy and bilateral salpingo‐oophorectomy was performed and the pathological examination revealed a leiomyosarcoma. Uterine inversion in the non‐puerperal period is an extremely rare event and it should be kept in mind that the cause of the inversion may be a malignant disease, like leiomyosarcoma.