A Non-puerperal Uterine Inversion Due to an Endometrial Polyp

Non-puerperal uterine inversion is a rare complication, and its incidence is not well documented in the current literature. The most common risk factor is the presence of submucosal fibroids. Nonetheless, any endometrial pathology can precipitate this inversion and may also have a malignant etiology. A detailed anamnesis and structured complementary diagnostic exams, along with a surgical team prepared for the resolution of this gynecological condition, are essential. This case presents a 76-year-old woman with non-puerperal uterine inversion following the prolapse of a uterine mass. Treatment occurred in two phases: firstly, by vaginal approach with excision of the uterine mass, which was causing vaginal bleeding, pain, and urinary retention. This was followed by an abdominal hysterectomy after the diagnosis of uterine inversion by MRI and the apparent exclusion of malignant etiology.