Non-puerperal uterine inversion secondary to uterine sarcoma and ascites demonstrated on CT and MRI

Uterine inversion is an uncommon condition usually found in association with childbirth. Non-puerperal uterine inversion is rare and clinical diagnosis is difficult. The condition is usually diagnosed during surgery. Prompt recognition of the radiological features of uterine inversion at an early stage permits optimal management including appropriate modification of subsequent surgical approach. We present a case of non-puerperal inversion secondary to uterine sarcoma in the context of ascites (a factor postulated to have played a contributary role). Uniquely, the diagnosis of uterine inversion was suggested on both computed tomography and magnetic resonance imaging. The key radiological findings are described along with a review of the relevant literature.