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Congenital uterovaginal prolapse present at birth

Ekwunife Okechukwu Hyginus1, Chukwuka Onuora John2

  • 1Department of Surgery, Nnamdi Azikiwe University Teaching Hospital, Nnewi Anambra, Nigeria.

Journal of Surgical Technique and Case Report
|April 18, 2014
PubMed

Insights

Congenital uterovaginal prolapse (UVP) at birth is rare, often linked to pelvic floor weakness. This case highlights successful conservative management of neonatal UVP using digital reduction and strapping.

Area of Science:

  • Pediatric Surgery
  • Neonatal Medicine
  • Gynecology

Background:

  • Uterovaginal prolapse (UVP) at birth is an exceptionally rare condition.
  • It is often associated with congenital anomalies affecting pelvic floor innervation and musculature.
  • Previous management strategies for neonatal UVP have varied.

Observation:

  • A rare case of congenital UVP was observed in a neonate immediately after delivery.
  • The infant presented with breech presentation, sacral dimple, and a tuft of hair, suggesting potential underlying neurological or structural abnormalities.
  • The prolapse was noticed at birth.

Findings:

  • The congenital uterovaginal prolapse was successfully managed conservatively.
  • Treatment involved manual reduction of the prolapse.
  • The infant's buttocks were strapped down to the legs with a crepe bandage for 72 hours.

Implications:

  • Conservative management can be effective for congenital uterovaginal prolapse in neonates.
  • This approach may avoid the need for surgical intervention in select cases.
  • Further research into the etiology and optimal management of neonatal UVP is warranted.

Keywords:
BreechNigeriacongenitalprolapsespina bifidautero-vaginal

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