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Presentation of acute uterine inversion in the emergency department

  • Joseph D. Lago
    Correspondence
    Address reprint requests to Dr Lago, Emergency Department, Stanford University Hospital, 300 Pasteur Dr, Stanford, CA 94305.
    Affiliations
    Department of Emergency Medicine, Stanford Medical Center, Stanford, CA USA.
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      Abstract

      A case of acute puerperal uterine inversion is described in a patient who presented to the emergency department after a home birth and a prolonged third stage of labor. The cardinal findings were shock and excessive blood loss. The uterus and attached placenta were protruding from the vagina and the normal cervical landmarks were absent. Emergency management consisted in vigorous fluid resuscitation prior to transfer to the operating room for definitive reversion.

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