N85.5

Clinical Causes: Excessive pulling or traction on the umbilical cord during delivery Weakness of the uterine wall, especially after childbirth Placental abruption or retained placenta causing undue pressure Uterine tumors or fibroids increasing vulnerability Inappropriate or forceful uterine massage postpartum Congenital uterine anomalies or abnormal uterine position

Key Symptoms: Severe lower abdominal pain Profuse vaginal bleeding A noticeable or palpable mass protruding through the cervix or vagina Hypotension and dizziness due to blood loss Palpable or visible uterus reversed or protruding through the vaginal canal Tissue discoloration or necrosis in severe cases

Diagnosis Path: Healthcare providers diagnose uterine inversion through a combination of physical examination and medical history review. During examination, they may observe a mass protruding from the cervix and feel a depressed or inverted uterus. Imaging studies like ultrasound can aid in confirming the diagnosis and assessing the extent of inversion. Differential diagnoses, including prolapsed fibroids or vaginal tumors, are considered to ensure accurate diagnosis.

Treatment Protocols: Manual replacement of the uterus, often performed under anesthesia Use of warm, saline-filled packs or other methods to relax the uterus before manual repositioning Medications to induce uterine relaxation or contraction as needed Blood transfusions if significant blood loss has occurred Surgical procedures, such as laparotomy or hysterectomy, in cases where manual repositioning fails or complications arise Post-reposition management includes monitoring for signs of re-inversion, infection prevention, and addressing underlying causes to prevent recurrence