Background: Puerperal uterine inversion is a potentially life-threatening obstetric emergency, and there is a lack of knowledge concerning its optimal management.Case: This report describes a case of successful Inverter manual replacement via laparotomy for acute uterine seat sleeve inversion following vaginal birth.Conclusions: Our successful experience with laparotomic manual replacement in this case may provide a reference for the management of uterine inversion in clinical practice.