PMC3825982_01
Large myoma abutting from the uterine fundus.
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However a repeat by the senior consultant revealed a firm exophytic sessile mass (6 x 8 cm) with necrotic surface abutting from the inverted uterine fundus (Fig. 1).
Laparotomy view of the uterus before correction of inversion. Note the characteristic dimpling and in-turning of the fallopian tubes and round ligaments.
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The infundibulo-pelvic, ovarian and round ligaments were in-turned and stretched as well as the fallopian tubes (Fig. 2).
The uterus showing the endometrial surface after reversion.
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Once this was done, the edge was picked by another Lens forceps and pulled out to reverse the inversion (Fig. 3).
The repaired uterus before the simple hysterectomy.
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The longitudinal anterior uterine incision was sutured to maintain the uterine anatomy (Fig. 4).