Abstract
IntroductionUterine prolapse is a common gynecologic condition that is rare during or before pregnancy. We report an exceptional case of two pregnancies in a totally prolapsed uterus.Case presentationA 36-year-old Caucasian woman with a history of uterine prolapse presented with pregnancy. A vaginal pessary was applied to keep her uterus inside the pelvis after manual reposition. The pessary was removed at the 24th week. The gravid uterus persisted in the abdominal cavity because of its increased volume.ConclusionOur case shows that pregnancy during uterine prolapse is possible and that careful assessment is required to prevent complications during delivery. According to our experience, an elective caesarean section near term could be the safest mode of delivery.
Highlights
Uterine prolapse is a common gynecologic condition that is rare during or before pregnancy
Our case shows that pregnancy during uterine prolapse is possible and that careful assessment is required to prevent complications during delivery
An elective caesarean section near term could be the safest mode of delivery
Summary
Uterine prolapse is a common gynecologic condition that is rare during or before pregnancy. Conclusion: Our case shows that pregnancy during uterine prolapse is possible and that careful assessment is required to prevent complications during delivery. An elective caesarean section near term could be the safest mode of delivery. Introduction Uterine prolapse is a common gynecologic condition but it is extremely rare during pregnancy with an estimated incidence of one per 10,000 to 15,000 deliveries [1].
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