Chronic non-puerperal incomplete uterine inversion

Chronic non-puerperal uterine inversion is an extremely rare diagnosis especially in younger women. The commands high level of clinical suspicion supplemented with imaging. An emergency admission a 35-year-old para 1 submucosal fundal fibroid presenting excessive menstrual flow hemodynamic instability requiring multiple blood transfusions presented. On abdominal examination slight suprapubic tenderness was made out no palpable mass. Bimanual revealed non-pediculated mass upper vagina circular constriction around it. ultrasound, cupping fundus suggested inversion. Pelvic MRI reaffirmed the findings highly vascularized intracavitary leiomyoma protruding through cervix. After optimization patient underwent myomectomy and Haultain’s procedure followed by total hysterectomy bilateral salpingectomy. Post-operative period uneventful. Inversion generally associated polyp but can rarely follow leiomyoma. Imaging helps preoperative planning management.