Reviewer’ s report
Title: Subacute uterine inversion following an induced abortion in a teenage girl: a case report
Version: 0Date: 03 Aug 2020
Reviewer's report:The authors report an interesting case of uterine inversion in a teenager after induction of unsafe
abortion. The case is well described and speaks of an important topic, not only due to the disease
presented, but also due to its interaction with unsafe abortion. However, it is necessary to reviewsome aspects before the case can be accepted for publication.
Is there no picture of the case? The presentation of a photo would be very important to illustrate
this rare clinical condition.
Abstract
The phrase "In addition to failed nonsurgical correction options, upon surgical reduction of uterineinversion, performed total abdominal hysterectomy due to necrosis." seems confusing to me.Please revise.
Background
The phrase "A rare gynaecological emergency in practice and literature [2] is potentially fatalwhen not diagnosed and reduced fast either by either nonoperative or surgical options." seemsconfusing to me. Please revise.
"We descried below".Pplease revise.
Case presentation
How many days passed between the uterine evacuation procedure and the patient's presentation at
the hospital's emergency department? This was not made clear in the text.
The authors report that the patient had hypothermia. They report that the body temperature was
35.8 C. Please provide some reference, since often the definition of hypothermia is bodytemperature below 35.0 C.
It is necessary to provide references for all the treatment techniques described in the case, such as
Johnson's and O Sullivan's methods, Huntington's procedure and Ocejo incision.
Discussion
The authors need to increase the discussion specifically about the treatment options for uterineinversion. Only one paragraph was used to discuss all the techniques that can be used to reverse
uterine inversion. It is in the interest of the reader to know the treatment options for such a
dramatic condition. If there is a word limit for the case report, I suggest reducing the epidemiology
and pathophysiology session of the discussion to be able to talk more about treatment alternatives.
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Is the study design appropriate to answer the research question (including the use of appropriate
controls), and are the conclusions supported by the evidence presented?
YesAre the methods sufficiently described to allow the study to be repeated?YesIs the use of statistics and treatment of uncertainties appropriate?YesIs the presentation of the work clear?
Yes
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manipulation?
Yes