A G1P1 woman immediately postpartum presents with severe vaginal bleeding. Her labor was remarkably quick for being primiparous, and her pregnancy was only complicated by fetal macrosomia. She has a history of leiomyoma. Along with severe bleeding, she has lower abdominal pain. The first one to arrive is a medical student who does a pelvic exam and says she feels a smooth, round mass protruding from the cervix. Her abdomen is flat. The patient quickly develops hemorrhagic shock.
Challenge: What's the diagnosis?
Monday, January 26, 2015
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Inside-Out
Uterine inversion occurs when the uterine fundus collapses into the endometrial cavity, a life-threatening obstetrical emergency.
Source: UpToDate.
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