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U-turn of uterine arteries: a novel sign pathognomonic of uterine inversion

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Abstract

A uterine inversion occurs when the uterine fundus collapses into the endometrial cavity. It is a rare complication in obstetrics following delivery, and it is even more infrequently encountered in gynecology with the non-puerperal uterus. A submucous fibroid is the most common reported cause of the non-puerperal uterine inversion. If not promptly recognized and treated, uterine inversion may lead to a severe hemorrhagic shock and death. We describe a novel three-dimensional power Doppler feature for the diagnosis of uterine inversion.

Sommario

L’inversione uterina si verifica quando il fondo uterino collassa nella cavità endometriale. E’ una rara complicanza che può avvenire dopo il parto ed è di rarissimo riscontro nell’utero non-puerperale in cui la causa più frequente è la presenza di un fibroma sottomucoso. Se non immediatamente riconosciuta e trattata, l’inversione uterina può portare ad un grave shock emorragico e alla morte. In questo lavoro descriviamo una nuova funzione di power doppler tridimensionale per la diagnosi di inversione uterina.

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Funding

The authors of this study declare no financial support was received for this study

Author information

Correspondence to Leonti Grin.

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Ethical approval

This study report was approved by our institutional review board.

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Informed consent was obtained from all individual participants included in the study.

Conflict of interests

The authors of this study declare they have no conflict of interest.

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Zohav, E., Anteby, E.Y. & Grin, L. U-turn of uterine arteries: a novel sign pathognomonic of uterine inversion. J Ultrasound 23, 77–79 (2020). https://doi.org/10.1007/s40477-018-0319-0

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Keywords

  • Uterine inversion
  • 3D Ultrasound
  • Power Doppler
  • Hysterectomy
  • Non-puerperal uterine
  • Three-dimensional sonography