The Clinic and Management of a Prolapsed Gravid Uterus Incarcerated Through the Anal Orifice in the Resource-Limited...

Prolapse of the gravid uterus, which cannot be spontaneously reduced through the anal orifice, is extremely rare. It is considered to be incarcerated and constitutes a clinical and therapeutic emergency, as it endangers fetal and maternal life. However, few cases have been reported in the literature. Because of the rarity of these prolapses of the gravid uterus and their clinical presentation, especially in young women in rural areas with armed conflicts, in the form of a mass protruding from the anal canal with a reduction in the volume of the abdomen, the clinical diagnosis provides guidance, and an ultrasound gives the age of the pregnancy. However, reduction by laparotomy under general anesthesia can be a therapeutic alternative in resource-limited settings. In this study, we report on the clinic and management of a prolapsed gravid uterus incarcerated through the anal orifice in a 24-year-old woman in a resource-limited setting.