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Uterine procidentia in an African adolescent: an uncommon gynecological challenge
Cyril C Dim1, Uchenna A Umeh, Hyginus U Ezegwui
1Department of Obstetrics & Gynecology, University of Nigeria Teaching Hospital, Enugu, Nigeria.
Background:
Uterovaginal prolapse in adolescents is rare, hence this report.
Case:
Miss O.N. was a 17-year-old Para 1(+0) A1. She had a regular menstrual cycle. She presented with complaints of mass protruding from her vagina of twenty months duration. The problem started four months after a normal delivery at a maternity home. Her mother had a similar problem after her last delivery. A diagnosis of uterine procidentia was made. The patient and her care giver consented to use of ring pessary only.
Summary And Conclusion:
Uterovaginal prolapse can occur in a black adolescent with normal menstrual cycle and in the absence of obvious musculoskeletal or neurogenic defect. The etiology could be multifactoral. Ring pessary is an effective non-surgical treatment option in the young.
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