•20-year-old P1L0 female from a rural area of Eastern India; presented with difficulty in having coitus, continuous bleeding per vaginum and watery vaginal discharge since her delivery 7 months back of a full-term asphyxiated baby who died within 24 hours.

•Delivery was conducted by an unskilled birth attendant

•history of prolonged third stage of labour.

•history of massive post-partum hemorrhage which was managed with uterotonics, multiple blood transfusion, IV fluids and injectable antibiotics.

•On examination, her vitals were stable.

•On local examination- external genitalia was normal

•Per speculum- a congested and hyperemic red globular mass of 5cm x 6cm was seen which bled on touch. (figure 1)

•Per vaginal- above described mass occupying cervix and extending into vagina up to introitus. Cervix thinned out around mass, uterine fundus not palpable

•Per rectal- uterus not palpable

•USG- inverted uterus in vagina (figure2)

•Laparotomy was done under general anesthesia.

•Intra-operative: classic flower-vase appearance of uterus seen. (figure 3)

•Haultain’s operation was performed by vertical incision over the posterior cervical ring to reposition the uterus. (figure 4)

•Incision closed in two layers. (figure 5)

•Postoperative period was uneventful.

•On follow up after 6 weeks, total relief of symptoms.

•She was advised contraception and to go undergo elective LSCS in her subsequent pregnancy.

Discussion