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June 8, 1940

ACUTE INVERSION OF THE PUERPERAL UTERUS: A RECORD OF TWENTY-ONE CASES

JAMA. 1940;114(23):2289-2292. doi:10.1001/jama.1940.02810230019005
Abstract

Acute inversion of the puerperal uterus, the turning inside out of the uterus, is one of the rarest of obstetric complications. When only a portion of the fundus uteri is inverted, one speaks of the condition as a partial inversion. When the entire organ is inverted, it is called a complete inversion. In the strict sense of the word the latter condition is rare, because there is usually a rim of cervix which does not turn inside out and hence most cases should be classed as partial inversions. From the practical standpoint, however, when the fundus uteri protrudes completely through the cervix the condition is called a complete inversion of the uterus. Such an organ may be lying entirely within the vagina or the inversion may be accompanied by prolapse, in which event the inverted uterus protrudes from the vulvar orifice as a large, soft, bleeding mass of tissue closely

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