Presentation
Vaginal bleeding and mass.
Patient Data
Age: 40 years
Gender: Female
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Lobulated uterine fundus mass prolapsing into the vaginal canal, and resulting in some inversion of the fundus. The left Fallopian tube/broad ligament appear to be involved resulting in medialization of the left ovary. Right ovary in normal position with presumed small physiologic cyst.
Case Discussion
Uncommon case of partial uterine inversion caused by a fundal fibroid. Take time to appreciate the anatomy in all three planes, which helps to understand the relationship between the fundal fibroid which is projecting into the upper vaginal canal, endometrium which is split by the fibroid and partially inverted, and left ovary.
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