Successful correction of acute complete inversion of uterus 24 hours after delivery.

Acute inversion of the uterus is rare, the incidence being 1 in 23000. If not detected and treated immediately, it may prove fatal. Instant replacement within a few seconds of its occurrence without any anaesthesia, except if already being used for conduct of the delivery, is desired to prevent the patient going into shock. The longer the treatment is deferred, the more difficult it becomes to correct the inversion because of the tightening of the cervical ring. If the inversion cannot be corrected by vaginal manipulation, surgical intervention becomes imperative. Successful replacement 24 hours after delivery is rarely recorded. In the case reported here, the patient presented, after a lapse of 24 hours and manual replacement was performed easily under anaesthesia.