Turhan, Nilgün ÖztürkSimavli, Serap AynurKaygusuz, İkbal CekmenKasap, Burcu2025-10-242025-10-2420142210-2612https://doi.rog/10.1016/j.ijscr.2013.12.014https://hdl.handle.net/20.500.12899/3125INTRODUCTION Inversion of the uterus is an extremely rare complication of the non-puerperal period and is commonly caused by benign submucous, especially fundal, leiomyomas. A case of a totally inverted cervix due to a prolapsed huge cervical leiomyoma mimicking chronic non-puerperal uterine inversion in a perimenopausal woman is presented. PRESENTATION OF CASE A 52-year-old perimenopausal woman was admitted to our clinic with an ulcerated, necrotic, infected and swollen prolapsed mass. Gynecologic history revealed that she was advised myomectomy because of her cervical myoma 2 years ago but she refused to have an operation as she believed that her positive thoughts would shrink the myoma. Presumed diagnosis before surgery was chronic non-puerperal uterine inversion. An intraoperative diagnosis was totally inverted cervix due to a huge cervical leiomyoma. Vaginal hysterectomy without adnexectomy, was performed. CONCLUSION This is the first case in the literature which a totally inverted cervix due to a prolapsed huge cervical leiomyoma. Cervical fibroids can grow in perimenopausal period and in extremely rare cases can cause total cervical inversion. © 2014 The Authors. © 2014 Elsevier B.V., All rights reserved.eninfo:eu-repo/semantics/openAccessCervical inversionProlapsed leiomyomaUterine inversionVaginal hysterectomyArticle10.1016/j.ijscr.2013.12.014585135152-s2.0-84904015926Q3