Acute pelvic organ prolapse in an 11-month-old infant

Wei-Hsin Chien1, Mao-Rong Tseng, Yi-Hao Lin

  • 1Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou Medical Center, 5 Fu-shin Street, Guei-shan, Taoyuan 333 [corrected] Taiwan.

Insights

Acute pelvic organ prolapse is rare in healthy infants. This case report details a successful non-surgical management of third-degree uterine prolapse in an 11-month-old infant, highlighting a unique presentation and resolution.

Area of Science:

  • Pediatric Gynecology
  • Neonatal Health
  • Pelvic Floor Disorders

Background:

  • Pelvic organ prolapse (POP) is uncommon in neonates, typically associated with high-risk conditions.
  • Acute POP in otherwise healthy infants remains an undocumented occurrence in medical literature.

Observation:

  • An 11-month-old infant presented with a vaginal mass after using a baby walker.
  • Physical examination and pelvic ultrasonography confirmed third-degree uterine prolapse.

Findings:

  • The infant experienced acute third-degree uterine prolapse.
  • Successful non-surgical repositioning of the uterus was achieved under general anesthesia after bladder decompression.

Implications:

  • This case expands the understanding of potential causes and presentations of pelvic organ prolapse in infants.
  • Highlights the importance of prompt diagnosis and conservative management for acute uterine prolapse in healthy infants.
  • Suggests potential association between infant physical activity devices and rare pelvic floor events.