{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:08:53Z","timestamp":1760659733440,"version":"build-2065373602"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"vor","delay-in-days":16,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Nonpuerperal uterine inversion (NPUI) is an extremely rare condition characterized by the uterus turning inside out through the endometrial cavity or cervix. Due to its rarity, NPUI presents diagnostic and therapeutic challenges, especially in atypical cases. This report discusses the management of such a case. A 50-year-old woman, P1A0, was referred with a protruding mass from her vagina. With no cervix part identified and no uterus found on abdominal ultrasound, uterine inversion with submucosal leiomyoma was diagnosed. Repositioning was done from the vagina and abdomen using a sondage. Total abdominal hysterectomy was performed. NPUI is a rare condition often caused by uterine fibroids, presenting with vaginal bleeding, pain, and a protruding mass. Diagnosis of uterine inversion relies on clinical signs, ultrasound, or magnetic resonance imaging could help but is not essential. Treatment depends on reproductive goals, but often requires hysterectomy following uterus repositioning. Conservative approaches are rare, and their impact on fertility remains uncertain.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf803","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T04:04:28Z","timestamp":1760587468000},"source":"Crossref","is-referenced-by-count":0,"title":["Inside out: a rare case of nonpuerperal uterine inversion caused by submucosal leiomyoma"],"prefix":"10.1093","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8104-7112","authenticated-orcid":false,"given":"Andrew Pratama","family":"Kurniawan","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, Cipto Mangunkusumo Hospital, Faculty of Medicine Universitas Indonesia , Jl. Salemba Raya No. 6, Kenari, Kec. Senen, Kota Jakarta Pusat, Daerah Khusus Ibukota, Jakarta 10430 ,","place":["Indonesia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David M","family":"Allorante","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Karawang General Hospital , Jl. Galuh Mas Raya No. 1, Sukaharja, Telukjambe Timur, Karawang, Jawa Barat 41361 ,","place":["Indonesia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"2025101600042469100_ref1","doi-asserted-by":"publisher","first-page":"8827207","DOI":"10.1155\/2020\/8827207","article-title":"Management of nonpuerperal uterine inversion using a combined vaginal and abdominal approach","volume":"2020","author":"Abubeker","year":"2020","journal-title":"Case Rep Obstet Gynecol"},{"key":"2025101600042469100_ref2","doi-asserted-by":"publisher","first-page":"492","DOI":"10.1016\/0002-9610(51)90268-1","article-title":"Non-puerperal inversion of the uterus","volume":"81","author":"Jones","year":"1951","journal-title":"Am J Surg"},{"key":"2025101600042469100_ref3","doi-asserted-by":"crossref","first-page":"428","DOI":"10.1159\/000488089","article-title":"Non-puerperal uterine inversion: a systematic review","volume":"83","author":"Bruno","year":"2018","journal-title":"Gynecol Obstet Invest"},{"key":"2025101600042469100_ref4","doi-asserted-by":"publisher","first-page":"e53071","DOI":"10.7759\/cureus.53071","article-title":"Exploring non-puerperal uterine inversion: a case series","volume":"16","author":"Shasindran","year":"2024","journal-title":"Cureus"},{"key":"2025101600042469100_ref5","doi-asserted-by":"publisher","first-page":"100","DOI":"10.1111\/j.1479-828x.2001.tb01304.x","article-title":"Non-puerperal uterine inversion associated with an atypical leiomyoma","volume":"41","author":"Skinner","year":"2001","journal-title":"Aust N Z J Obstet Gynaecol"},{"key":"2025101600042469100_ref6","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1016\/j.jmig.2024.09.023","article-title":"Rare case of nonpuerperal complete uterine inversion","volume":"32","author":"Perelmuter","year":"2025","journal-title":"J Minim Invasive Gynecol"},{"key":"2025101600042469100_ref7","doi-asserted-by":"publisher","first-page":"e13345","DOI":"10.7759\/cureus.13345","article-title":"Characteristics and outcome in non-puerperal uterine inversion","volume":"13","author":"Kesrouani","year":"2021","journal-title":"Cureus"},{"key":"2025101600042469100_ref8","first-page":"376","article-title":"Surgical management of nonpuerperal inversion of the uterus","volume":"32","author":"Lascarides","year":"1968","journal-title":"Obstet Gynecol"},{"key":"2025101600042469100_ref9","doi-asserted-by":"publisher","first-page":"8625186","DOI":"10.1155\/2020\/8625186","article-title":"Nonpuerperal uterine inversion: what the gynaecologists need to know?","volume":"2020","author":"Herath","year":"2020","journal-title":"Obstet Gynecol Int"},{"key":"2025101600042469100_ref10","doi-asserted-by":"publisher","first-page":"427","DOI":"10.5455\/2320-1770.ijrcog20130935","article-title":"A unique case of recurrent uterine inversion requiring double reposition","volume":"2","author":"Sharma","year":"2013","journal-title":"J Reprod Contracept Obstet Gynecol"},{"key":"2025101600042469100_ref11","doi-asserted-by":"publisher","first-page":"894","DOI":"10.1111\/j.1525-1438.2003.13626.x","article-title":"Uterine inversion by a mixed Mullerian tumor of the corpus","volume":"13","author":"Tjalma","year":"2003","journal-title":"Int J Gynecol Cancer"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf803\/64714104\/rjaf803.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2025\/10\/rjaf803\/64714104\/rjaf803.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T04:04:29Z","timestamp":1760587469000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaf803\/8287238"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,30]]},"references-count":11,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2025,9,30]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaf803","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,10]]},"published":{"date-parts":[[2025,9,30]]},"article-number":"rjaf803"}}