Akute Inversio uteri puerperalis: Eine Falldarstellung

Puerperal inversion of the uterus is a rare but life-threatening obstetric complication. Unrecognized, it can lead to severe bleeding and shock and even maternal death. Manual replacement under general anesthesia is usually successful. If the manual replacement fails, surgical replacement by laparotomy needs to be performed. In any case, mortality and morbidity can be reduced by rapid recognition and immediate replacement. Therefore, regular practical exercises for the detection and treatment of acute uterine inversion as well as other obstetric emergencies should be performed as part of medical training. We would like to report of a 31-year-old Gravida 2 Para 0 at 39 weeks+4 days of gestation who, after an uncomplicated spontaneous vaginal delivery, had an acute third-degree uterine inversion, which was replaced by laparotomy after an unsuccessful vaginal replacement attempt.