Skip to main content
Top
Published in: Journal of Medical Case Reports 1/2011

Open Access 01-12-2011 | Case report

Two successful natural pregnancies in a patient with severe uterine prolapse: A case report

Authors: Davide De Vita, Salvatore Giordano

Published in: Journal of Medical Case Reports | Issue 1/2011

Login to get access

Abstract

Introduction

Uterine 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 presentation

A 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.

Conclusion

Our 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.
Appendix
Available only for authorised users
Literature
1.
go back to reference Guariglia L, Carducci B, Botta A, Ferrazzani S, Caruso A: Uterine prolapse in pregnancy. Gynecol Obstet Invest. 2005, 60: 192-194. 10.1159/000087069.CrossRefPubMed Guariglia L, Carducci B, Botta A, Ferrazzani S, Caruso A: Uterine prolapse in pregnancy. Gynecol Obstet Invest. 2005, 60: 192-194. 10.1159/000087069.CrossRefPubMed
2.
go back to reference Jeng CJ, Lou CN, Lee FK, Tzeng CR: Successful pregnancy in a patient with initially procidentia uteri. Acta Obstet Gynecol Scand. 2006, 85: 501-502. 10.1080/00016340600607529.CrossRefPubMed Jeng CJ, Lou CN, Lee FK, Tzeng CR: Successful pregnancy in a patient with initially procidentia uteri. Acta Obstet Gynecol Scand. 2006, 85: 501-502. 10.1080/00016340600607529.CrossRefPubMed
3.
go back to reference Eddib A, Allaf MB, Lele A: Pregnancy in a woman with uterine procidentia: a case report. J Reprod Med. 2010, 55: 67-70.PubMed Eddib A, Allaf MB, Lele A: Pregnancy in a woman with uterine procidentia: a case report. J Reprod Med. 2010, 55: 67-70.PubMed
4.
go back to reference Chun SS, Park KS: Birth of a healthy infant after in vitro for fertilization and embryo transfer in patient of total uterine prolapse. J Assist Reprod Genet. 2001, 18: 346-347. 10.1023/A:1016676403705.CrossRefPubMedPubMedCentral Chun SS, Park KS: Birth of a healthy infant after in vitro for fertilization and embryo transfer in patient of total uterine prolapse. J Assist Reprod Genet. 2001, 18: 346-347. 10.1023/A:1016676403705.CrossRefPubMedPubMedCentral
5.
go back to reference Bump RC, Mattiasson A, Bø K, Brubaker LP, DeLancey JO, Klarskov P, Shull BL, Smith AR: The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996, 175: 10-17. 10.1016/S0002-9378(96)70243-0.CrossRefPubMed Bump RC, Mattiasson A, Bø K, Brubaker LP, DeLancey JO, Klarskov P, Shull BL, Smith AR: The standardization of terminology of female pelvic organ prolapse and pelvic floor dysfunction. Am J Obstet Gynecol. 1996, 175: 10-17. 10.1016/S0002-9378(96)70243-0.CrossRefPubMed
6.
go back to reference Daskalakis G, Lymberopoulos E, Anastasakis E, Kalmantis K, Athanasaki A, Manoli A, Antsaklis A: Uterine prolapse complicating pregnancy. Arch Gynecol Obstet. 2007, 276: 391-392. 10.1007/s00404-007-0354-0.CrossRefPubMed Daskalakis G, Lymberopoulos E, Anastasakis E, Kalmantis K, Athanasaki A, Manoli A, Antsaklis A: Uterine prolapse complicating pregnancy. Arch Gynecol Obstet. 2007, 276: 391-392. 10.1007/s00404-007-0354-0.CrossRefPubMed
Metadata
Title
Two successful natural pregnancies in a patient with severe uterine prolapse: A case report
Authors
Davide De Vita
Salvatore Giordano
Publication date
01-12-2011
Publisher
BioMed Central
Published in
Journal of Medical Case Reports / Issue 1/2011
Electronic ISSN: 1752-1947
DOI
https://doi.org/10.1186/1752-1947-5-459

Other articles of this Issue 1/2011

Journal of Medical Case Reports 1/2011 Go to the issue