Congenital uterovaginal prolapse in a term neonate: a case report
Introduction: Congenital uterovaginal prolapse in neonates is a rare condition, and it is often associated with spinal cord defects. Case presentation: A 3-day-old female term neonate born via cesarean section with a weight of 3.2 Kg was admitted to our pediatric surgery unit due to a protruding mas...
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Elsevier
2025-07-01
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| Series: | Journal of Pediatric Surgery Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576625000648 |
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| author | Jejaw Endale Yidnekachew Getachew Samuel Gashu Belachew Dejene Mihret S. Tesfaye Hiwot Y. Anley |
| author_facet | Jejaw Endale Yidnekachew Getachew Samuel Gashu Belachew Dejene Mihret S. Tesfaye Hiwot Y. Anley |
| author_sort | Jejaw Endale |
| collection | DOAJ |
| description | Introduction: Congenital uterovaginal prolapse in neonates is a rare condition, and it is often associated with spinal cord defects. Case presentation: A 3-day-old female term neonate born via cesarean section with a weight of 3.2 Kg was admitted to our pediatric surgery unit due to a protruding mass in the vaginal introitus and swelling in the lower back. On physical examination, the mass measured 4 by 5 cm was and appeared to be the vagina and part of the uterus. There was no discharge or bleeding. The mass was easily reducible but recurred when the patient cried. A spinal ultrasound confirmed a 3 by 2-cm defect in the lumbosacral area, consistent with a meningomyelocele. The patient also had bilateral clubfoot. A transfontanellar ultrasound showed obstructive hydrocephalus, likely due to aqueductal stenosis, and showed a small posterior fossa with an inferiorly displaced vermis, suggesting Chiari malformation type II. Several attempts at manual reduction and packing of the mass with a plaster were made but were unsuccessful. The patient was taken to the operating room for a vaginal cerclage. Two incisions were made on the vaginal wall at the 6 o'clock and 12 o'clock positions, approximately 1 cm above the fourchette. A circumferential suture of reabsorbable material was then placed and securely tied. The postoperative course was uneventful. The patient was subsequently transferred to the neurosurgery department for further evaluation and management. At three months of follow-up there have been no signs of tissue damage, and no recurrence of the prolapse. Conclusion: Congenital uterovaginal prolapse is a rare anomaly, and most cases occur in patients with neural tube defects. Vaginal cerclage seems to be a safe and effective management option. |
| format | Article |
| id | doaj-art-0c50682fcc814e07812e48f8153cbdc0 |
| institution | DOAJ |
| issn | 2213-5766 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj-art-0c50682fcc814e07812e48f8153cbdc02025-08-20T03:21:51ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662025-07-0111810301910.1016/j.epsc.2025.103019Congenital uterovaginal prolapse in a term neonate: a case reportJejaw Endale0Yidnekachew Getachew1Samuel Gashu2Belachew Dejene3Mihret S. Tesfaye4Hiwot Y. Anley5Pediatric Surgery Division, Department of Surgery, Black Lion Hospital, Addis Ababa, EthiopiaPediatric Surgery Division, Department of Surgery, Black Lion Hospital, Addis Ababa, EthiopiaPediatric Surgery Division, Department of Surgery, Black Lion Hospital, Addis Ababa, EthiopiaPediatric Surgery Division, Department of Surgery, Black Lion Hospital, Addis Ababa, EthiopiaSchool of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia; Corresponding author.School of Medicine, College of Health Sciences, Addis Ababa University, Addis Ababa, EthiopiaIntroduction: Congenital uterovaginal prolapse in neonates is a rare condition, and it is often associated with spinal cord defects. Case presentation: A 3-day-old female term neonate born via cesarean section with a weight of 3.2 Kg was admitted to our pediatric surgery unit due to a protruding mass in the vaginal introitus and swelling in the lower back. On physical examination, the mass measured 4 by 5 cm was and appeared to be the vagina and part of the uterus. There was no discharge or bleeding. The mass was easily reducible but recurred when the patient cried. A spinal ultrasound confirmed a 3 by 2-cm defect in the lumbosacral area, consistent with a meningomyelocele. The patient also had bilateral clubfoot. A transfontanellar ultrasound showed obstructive hydrocephalus, likely due to aqueductal stenosis, and showed a small posterior fossa with an inferiorly displaced vermis, suggesting Chiari malformation type II. Several attempts at manual reduction and packing of the mass with a plaster were made but were unsuccessful. The patient was taken to the operating room for a vaginal cerclage. Two incisions were made on the vaginal wall at the 6 o'clock and 12 o'clock positions, approximately 1 cm above the fourchette. A circumferential suture of reabsorbable material was then placed and securely tied. The postoperative course was uneventful. The patient was subsequently transferred to the neurosurgery department for further evaluation and management. At three months of follow-up there have been no signs of tissue damage, and no recurrence of the prolapse. Conclusion: Congenital uterovaginal prolapse is a rare anomaly, and most cases occur in patients with neural tube defects. Vaginal cerclage seems to be a safe and effective management option.http://www.sciencedirect.com/science/article/pii/S2213576625000648Case reportUterovaginal prolapseMeningomyelocelevaginal cerclage |
| spellingShingle | Jejaw Endale Yidnekachew Getachew Samuel Gashu Belachew Dejene Mihret S. Tesfaye Hiwot Y. Anley Congenital uterovaginal prolapse in a term neonate: a case report Journal of Pediatric Surgery Case Reports Case report Uterovaginal prolapse Meningomyelocele vaginal cerclage |
| title | Congenital uterovaginal prolapse in a term neonate: a case report |
| title_full | Congenital uterovaginal prolapse in a term neonate: a case report |
| title_fullStr | Congenital uterovaginal prolapse in a term neonate: a case report |
| title_full_unstemmed | Congenital uterovaginal prolapse in a term neonate: a case report |
| title_short | Congenital uterovaginal prolapse in a term neonate: a case report |
| title_sort | congenital uterovaginal prolapse in a term neonate a case report |
| topic | Case report Uterovaginal prolapse Meningomyelocele vaginal cerclage |
| url | http://www.sciencedirect.com/science/article/pii/S2213576625000648 |
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