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Case Reports in Obstetrics and Gynecology
Volume 2015, Article ID 424891, 5 pages
Case Report

Successful Reduction of Acute Puerperal Uterine Inversion with the Use of a Bakri Postpartum Balloon

Department of Obstetrics and Gynecology, Kobe Adventist Hospital, 4-1, 8-Chome, Arinodai, Kita-ku, Kobe 651-1321, Japan

Received 25 January 2015; Revised 23 March 2015; Accepted 30 March 2015

Academic Editor: Hao Lin

Copyright © 2015 Akinori Ida et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Uterine inversion is a state wherein the endometrial surface is inverted. Although this condition may be observed in nonpregnant women, it most commonly develops at the time of delivery. In the present case, a 37-year-old woman without any remarkable history developed acute puerperal uterine inversion after the successful induction of labor. Following the delivery, she complained twice of severe lower abdominal pain; subsequently, hemorrhage was noted at the site of partial detachment of the placenta. These findings led to a diagnosis of placenta accreta, and the patient developed a state of shock. A Bakri postpartum balloon was inserted into the uterine cavity under ultrasonographic guidance and was filled with physiological saline for treatment of this condition. With this procedure, the uterine inversion was completely reduced and the hemorrhage was stopped. Moreover, no reinversion was observed in the postoperative period. These findings suggest that a Bakri postpartum balloon can be used to noninvasively reduce uterine inversion and prevent its recurrence.