Non-puerperal uterine inversion caused by a leiomyoma

Uterine inversion is characterized by the invagination of the fundus of the uterus through the vagina. It’s a rare postpartum complication leading to massive bleeding and it’s extremely rare in non-puerperal cases. Non-puerperal uterine inversion is caused by tumors exerting force on the fundus of the uterus, turning the uterus inside out. It is most frequently associated with benign tumors such as submucosal leiomyomas however, malignant tumors can also be associated. We reported the case of 43-year-old women, G1P1, who was admitted at the emergency department for a bleeding vaginal prolapsed mass. A pelvic MRI performed revealing a complete uterine inversion probably due to a submucous myoma or a malignant process. She underwent a total abdominal hysterectomy with bilateral salpingectomy by both natural and abdominal way. Pathological study revealed a degenerating leiomyoma. The patient recovered well from the operation with no complications.

A rare localization of a foreign body: breast

We report a case of 52 years old that presented with an intramamary foreign body that was introduced by the patient herself, the foreign body was removed and the sent to Psychiatric Department for follow up. It’s a rare case of foreign body localization that can induce infections and abscess, but our patient was not infected hopefully.

Medical treatment of ectopic pregnancy: case report

Ectopic pregnancy occurs when the embryo implants outside the uterine cavity. It is a leading source of morbidity and mortality within pregnancy. Methotrexate, a folic acid antagonist, has been widely used to treat appropriately selected ectopic pregnancies. We report the case of a 20-year-old woman, married, G2P0, having as antecedent a right tubal ectopic pregnancy benefiting from a right salpingectomy two years ago, who presents actually a paucisymptomatic ectopic pregnancy. Medical treatment with methotrexate was chosen with monitoring of the patient's hemodynamic status and hCG level