Trauma-induced uterine prolapse in the third trimester: a rare case report

Area of Science:

• Obstetrics and Gynecology
• Maternal-Fetal Medicine

Background:

• Uterine prolapse during pregnancy, especially in the third trimester, is exceptionally rare.
• Trauma-induced uterine prolapse presents unique challenges and potential maternal/fetal risks.
• Clinical reporting of such rare cases is vital for management guidelines.

Purpose of the Study:

• To report a rare case of severe uterine prolapse in late pregnancy following trauma.
• To emphasize the importance of prompt recognition and management in similar obstetric emergencies.

Main Methods:

• Case presentation of a 36-week pregnant woman with trauma-induced grade 4 uterine prolapse.
• Inclusion of spontaneous rupture of membranes and hyperemic cervix details.
• Management involved emergency cesarean section due to advanced prolapse and contractions.

Main Results:

• The patient presented with severe uterine prolapse after vaginal trauma at 36 weeks gestation.
• Emergency cesarean section was successfully performed with favorable maternal and neonatal outcomes.
• Complete resolution of uterine prolapse occurred postpartum.

Conclusions:

• Trauma-induced uterine prolapse in late pregnancy requires prompt recognition and management.
• Multidisciplinary care and individualized decision-making are crucial for optimal outcomes.
• This case underscores the successful management of a rare obstetric complication.