PMC7794039_01
Inverted uterus with a solitary mass attached to an exposed endometrial surface (yellow arrows).
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fig1
The mass was noted to have two distinct parts with a clear demarcation (Figure 1).
Tight cervical ring (yellow arrow) behind the mass.
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Abdominal view of the posterior uterine wall after repositioning using the Haultain procedure.
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fig3
The uterus was subsequently reinverted to its normal anatomy by placing a finger abdominally through the myometrial incision and exerting pressure on the fundus (Figure 3).
Histological section reveals (a) interlacing fascicles of bland spindle cells with adjacent glandular structures suggestive of a leiomyoma with focuses of adenomyosis and (b) cystically dilated glands of different sizes lined by bland columnar cells in muscular stroma suggestive of adenomyosis.
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There was no evidence of malignancy (Figure 4).