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

Uterine prolapse during pregnancy is an extremely rare and challenging obstetric complication, particularly in the third trimester. Trauma-induced prolapse is even less common and can have significant maternal and fetal consequences. Reporting such rare presentations is crucial for guiding clinical management.

We present the case of a 25-year-old gravida 3, para 1 woman at 36 weeks of gestation who was admitted to the emergency department after trauma to the vaginal region. She reported spontaneous rupture of membranes at home prior to admission. On examination, a grade 4 uterine prolapse with a hyperemic and edematous cervix was observed protruding through the vaginal introitus. Laboratory and imaging findings were within normal limits, and there were no signs of retroplacental bleeding or fetal distress. Due to the advanced stage of prolapse and ongoing regular contractions, an emergency cesarean section was performed. The maternal and neonatal outcomes were favorable, and the prolapse resolved completely postpartum.

This case highlights the importance of recognizing and promptly managing trauma-induced uterine prolapse in late pregnancy. It underlines the need for multidisciplinary care and individualized decision-making to ensure optimal maternal and fetal outcomes in such rare clinical scenarios.