Background: Uterine inversion is a rare obstetric emergency with associated high maternal morbidity and mortality if intervention is delayed. The low incidence of uterine inversion results in sparse experience in resolving this obstetric emergency. There are many treatment strategies, but they are poorly described. The aim of this paper is to describe a rare case of acute uterine inversion and discuss it's management.

Methods: A rare case report of acute uterine inversion following delivery in a multiparus woman which was treated promptly by obstetric team intervention with good outcome.

Results: We were able to recognize the acute inversion of the uterus postpartum and offered manual uterine reversal using Johnson maneuver at an early stage without complications. The risk factor for uterine inversion was the fundal implantation of the placenta.

Conclusions: The best management options for acute inversion of the uterus are not known, it is however important to keep in mind this diagnosis and be updated about the strategies required to achieve uterine reversal at an early stage.