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  • Title: Puerperal inversion of one horn of a bicornuate uterus. A case report.
    Author: Ollendorff DA, Kelsey RJ, Fejgin MD.
    Journal: J Reprod Med; 1995 Aug; 40(8):601-2. PubMed ID: 7473459.
    Abstract:
    BACKGROUND: Acute uterine inversion is a rare (1:2,500-25,000 deliveries) but potentially life-threatening obstetric complication. Uterine malformation can make it difficult to diagnose and treat this emergency. CASE: Following a normal delivery in a nullipara, laparotomy was required to establish the diagnosis and treat an inversion of one horn of a bicornuate uterus. CONCLUSION: Inversion of one horn of a bicornuate uterus presents a diagnostic dilemma. When physical examination reveals a palpable abdominal "fundus" and a mass protruding through the cervix in a patient who is experiencing uterine hemorrhage, the cause may be inversion of one horn of a bicornuate uterus. Laparotomy may be required for definitive diagnosis and treatment.
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