Uterine Inversion in Postmenopausal Woman: A Rare Entity

Uterine inversion in old age is a rare complication. Submucosal fibroid or polyp is mostly the cause of nonpuerperal inversion. Diagnosis can be made on physical examination but it may be difficult. Management consists of manual reposition of uterus or surgery either through abdominal or vaginal route. We report a case of nonpuerperal uterine inversion in an unmarried nulliparous postmenopausal Baloch woman having lemon size submucosal fibroid and presented with complete prolapsed inversion. Diagnosis was made clinically and confirmed at laparotomy. At laparotomy inversion was corrected first then total abdominal hysterectomy with bilateral salpingooophorectomy was carried out.