Non-puerperal uterine inversion (NPUI) is an extremely rare cause of acute urinary retention in women of reproductive age. The delay in diagnosing this rare clinical entity presenting with acute urinary retention further complicates the management. The condition's rarity makes it difficult to carry out a study on its prevalence. Hence, most of the evidence comes from case reports or case series. We present a rare case of uterine inversion complicated by acute urinary retention and severe anemia in a 32-year-old lady who was successfully treated. At first, a vaginal myomectomy was followed by an Ocejo procedure to reposition the uterus, and then a total abdominal hysterectomy was done. This procedure for correction of uterine inversion is rarely done because of fear of inadvertent cystotomy. She did well and was discharged home on the 5^th day of operation. Histology confirmed benign uterine fibroid and uterus with endometritis.

Acute urinary retention, Non-puerperal uterine inversion, Radiological investigations, Rare gynecological emergency