Nonpuerperal Uterine Inversion Caused by Fibroid Polyp Associated with Squamous-Cell Carcinoma of the Cervix

Nonpuerperal uterine inversion is an extremely rare event. Of the small number of cases reported in the literature, most have been associated with benign uterine tumors and only a few with uterine sarcoma or carcinoma. To the best of our knowledge, no case associated with cervical carcinoma has been reported. In this paper, we report a rare case of nonpuerperal uterine inversion caused by an aborting fibroid and associated with squamous-cell carcinoma of the cervix in a 70-year-old postmenopausal woman. The patient was successfully treated surgically by excision of the fibroid vaginally, followed by a repositioning of the uterine inversion abdominally (the Haultain method) and total abdominal hysterectomy and bilateral salpingo-oopherectomy. Postoperative radiotherapy for cervical carcinoma was given after histopathologic confirmation. The association of malignancy with a nonpuerperal uterine inversion must be kept in mind and confirmed by histopathology.