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Ultrasonography of uterine inversion.
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Ultrasonography (Figure 1) done by the radiologist in another center and at our center was reported normal.
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Cupping of the uterine content including fundus of the uterus, broad ligament, both ovaries, and round ligament.
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A cup-like depression was noted in the midpelvic cavity, and bilateral round ligaments, fallopian tubes, and ovarian ligaments were coming out of the cup-like depression (Figure 2).
Picture after completion of vaginal myomectomy of the inverted uterus in piecemeal and before repair of myometrium and endometrium.
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With an index finger still in depression placed up to the fundus of the uterus from the abdominal cavity, myomectomy was done vaginally (Figure 3).
Haultain's procedure.
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With sustained traction on the bilateral round ligament, a vertical incision was given in the posterior portion of depression (i.e., posterior uterus), fundus was pushed vaginally, and the uterine inversion was corrected (Figure 4).
Final view of uterus repair.
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The posterior opening of the uterus was repaired (Figure 5).