Purse string suturing in a neonatal prolapsed uterus

Uterovaginal prolapse following suspected sexual abuse to a child: a case report

Background

Uterovaginal prolapse occurs when damaged connective tissues allow the uterus to drop into the vagina. Rare in children, uterovaginal prolapse can occur as a result of violent sexual assault. This case is being reported because there has been no previous report of acquired pelvic organ prolapse following trauma suspected to be sexual abuse in a child in our setting.

Case presentation

Two-year-old female presented to our hospital with a 3-day history of abnormal protrusion from the vagina and a 2-day history of bleeding per vagina. Traumatic rupture of the hymen was observed. The urethra was not edematous or hyperemic. The reduction was done successfully under sedation and maintained using a crepe bandage. There was no recurrence after 3-month follow-up.

Conclusions

Uterovaginal prolapse presenting among children below 5 years is rare. If bleeding per vagina is reported in a child, the clinician should be aware of the possibility of uterovaginal prolapse.

Congenital Uterovaginal Prolapse in a Newborn

BACKGROUND

Uterovaginal prolapse is a rare condition in newborns which is usually associated with spinal cord defects. It is usually diagnosed at birth. Different treatment options have been proposed for genital prolapse in newborns. Most of the treatment options recommended are conservative; radical approach is rarely suggested for the treatment of these cases.

CASE DETAILS

We report a 6-hour-old newborn that was diagnosed to have congenital uterovaginal prolapse and was successfully managed conservatively with digital reduction of the mass and strapping of both legs together.

CONCLUSION

Congenital uterovaginal prolapse in newborns can be managed conservatively with simple digital reduction followed by strapping of the legs together; this approach is simple and cost-effective and has no associated complications.

Congenital uterovaginal prolapse present at birth

Uterovaginal prolapse presenting at birth is very rare. The cause is attributed to conditions that can cause poor innervation or weakness of the pelvic floor muscle and the supporting ligaments. Different methods of treatment have been used in the past to reduce and maintain reduction of the prolapse. We report a case of a congenital UVP in a day old child noticed at delivery. He was delivered breech and had a sacral dimple with a tuft of hair. He was successfully managed conservatively with digital reduction and strapping of the buttocks down to the legs with crepe bandage for 72 h.