Abstract
Non-puerperal uterine inversion is an extremely rare medical and surgical emergency. It is more commonly described in obstetrics, exposing the mother to the risk of cataclysmic delivery haemorrhage. We report the case of a 48 year old patient presenting with acute 4th degree uterine inversion on a submucosal fundial myoma. Total interannexal hysterectomy was performed via a double approach: vaginal and laparoscopic. The laparoscopic approach enabled the diagnosis to be confirmed and the hysterectomy to be performed in complete safety.