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Background <p>Non-puerperal uterine inversion (NPUI) occurs extremely rarely and is typically associated with uterine tumors, but cases of NPUI arising from polypoid adenomyoma are even less common. The non-specific presentation of NPUI often leads to delayed diagnosis, and existing fertility-preserving surgeries lack tailoring to polypoid adenomyoma’s features.</p> Case presentation <p>A 32-year-old nulliparous Asian woman presented with heavy menstrual bleeding, a prolapsing vaginal mass, and severe anemia (Hemoglobin 32&#xa0;g/L). Magnetic resonance imaging confirmed NPUI. Surgical management involved vaginal traction for precise lesion localization, Haultain’s procedure for uterine repositioning, and layered suturing for repair. Histopathology identified a polypoid adenomyoma. Follow-up demonstrated resolution of symptoms and return to normal menstruation.</p> Conclusion <p>This optimized surgical strategy provides replicable details and references for the fertility-preserving management of rare NPUI.</p>

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Reproductive preservation in non-puerperal uterine inversion from adenomyoma: a case report

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年3月31日

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  • Zhen-Xuan Zhu,
  • Chang-Zhu Pei,
  • Ming Li,
  • Xiao-Xing Song,
  • Hao Xu

摘要

Background

Non-puerperal uterine inversion (NPUI) occurs extremely rarely and is typically associated with uterine tumors, but cases of NPUI arising from polypoid adenomyoma are even less common. The non-specific presentation of NPUI often leads to delayed diagnosis, and existing fertility-preserving surgeries lack tailoring to polypoid adenomyoma’s features.

Case presentation

A 32-year-old nulliparous Asian woman presented with heavy menstrual bleeding, a prolapsing vaginal mass, and severe anemia (Hemoglobin 32 g/L). Magnetic resonance imaging confirmed NPUI. Surgical management involved vaginal traction for precise lesion localization, Haultain’s procedure for uterine repositioning, and layered suturing for repair. Histopathology identified a polypoid adenomyoma. Follow-up demonstrated resolution of symptoms and return to normal menstruation.

Conclusion

This optimized surgical strategy provides replicable details and references for the fertility-preserving management of rare NPUI.