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A 68-year-old woman presented with dull, persistent abdominal pain, the sensation of a foreign body in the pelvis, difficulty voiding, and vaginal discharge. The symptoms had developed over many years, after two uncomplicated, spontaneous deliveries; at the time of presentation, the symptoms had become unbearable. Physical examination revealed a normal abdomen without a mass; on external inspection of the vulva, the pelvic organs were visibly prolapsed. The prolapsed structure, 30 cm in length, consisted of the vagina (arrow) and the inverted endometrium (asterisk). Repositioning was successfully performed manually in the clinic. The patient underwent vaginal hysterectomy and surgical repair of . . . [Full Text of this Article] |
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