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Updated: Jul 26, 2026

Anogenital Distance and Perineal Measurements of the Pelvic Organ Prolapse (POP) Quantification System
Published on: September 20, 2018
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.
Abstract:
There exist several reports of pelvic organ prolapse in high-risk neonates, but acute pelvic organ prolapse in a healthy infant has never been reported. In the current case, the parents first noted their 11-month-old infant with a mass protruding from the vagina after playing in a baby walker. Third-degree uterine prolapse was subsequently diagnosed after careful physical examination and pelvic ultrasonography. Under general anesthesia, the uterus was replaced after emptying the bladder. No sequelae were noted during 6 months of follow-up.
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