The uterine inversion defines itself anatomically as the invagination of fundus uterus bottom "finger of glove" until be able to take out in the vulva. It is a dramatic accident of the placenta delivery and a rare eventuality in countries with low medical entity, this rarity - who can mislead the practitioner - ends in complications that lead maternal death. We present the case of a patient de 30 the years old who had a difficult delivery at home 3 months ago with death newborn in immediate post-partum. She was admitted for small vaginal bleeding associated Burning micturition with preservation of the general states. The gynecological examination had revealed a mass a 5 cm in diameter in the vagina. We made the diagnosis of a chronic puerperal uterine inversion of the third degree and a surgical intervention of vaginal vertical posterior colpohysterotomy by low way in the first one and the second was the colpohysterorraphy by laparotomy.