A Rare Case of Pregnancy Complicated by Uterine Prolapse and Cervical Fibroid

Barik, Archana; Ray, Alokananda

doi:10.7759/cureus.9026

Cited by 5 publications

(10 citation statements)

References 16 publications

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“…These results suggest that this study reports a valuable case of vaginal delivery. In fact, the two cases reported recently were both delivered by cesarean section [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

A case report of successful vaginal delivery in a patient with severe uterine prolapse and a review of the healing process of a cervical incision

Maki

Mitoma

Mishima

et al. 2022

Case Reports in Women's Health

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Background The incidence of severe uterine prolapse during childbirth is approximately 0.01%. Moreover, to the best of our knowledge, no reports detail the healing process of the cervix during uterine involution. This report describes successful vaginal delivery and the healing process of postpartum uterine prolapse and cervical tears in a patient with severe uterine prolapse. Case presentation A patient in her 40s (gravida 3, para 1, abortus 1) with severe uterine prolapse successfully delivered a live female baby weighing 3190 g at 38 + 5 weeks of gestation by assisted vaginal delivery. Uterine prolapse had improved to approximately 2° by 2 months postoperatively. On postpartum day 4, during the healing process of cervical laceration, the thread loosened in a single layer of continuous sutures due to uterine involution, and poor wound healing was observed. The wound was subsequently re-sutured with a two-layer single ligation suture (Gambee suture + vertical mattress suture). However, on postpartum day 11, a large thread ball was hindering the healing of the muscle layer, which improved with re-suturing. Conclusion Although vaginal delivery in a patient with severe uterine prolapse is possible in some cases, the cervix should be sutured, while considering cervical involution after delivery.

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“…These results suggest that this study reports a valuable case of vaginal delivery. In fact, the two cases reported recently were both delivered by cesarean section [ 9 , 10 ].…”

Section: Discussionmentioning

confidence: 99%

A case report of successful vaginal delivery in a patient with severe uterine prolapse and a review of the healing process of a cervical incision

Maki

Mitoma

Mishima

et al. 2022

Case Reports in Women's Health

View full text Add to dashboard Cite

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“…Hysterectomy can be an option, in women who have a thick, edematous, irreducible cervix into the vagina during the cesarean section time is an inevitable choice and in patient who have completed their family. [ 24 , 25 ]…”

Section: Discussionmentioning

confidence: 99%

A rare case of obstructed labor due to sever uterine prolapse; a case report and literature review

Askary

Alamdarloo

Karimi

et al. 2022

International Journal of Surgery Case Reports

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“…Operative delivery is the way forward in this situation, as vaginal delivery is practically impossible, especially in cases of central placenta praevia. However, the lower segment cesarean section is challenging due to the presence of cervical fibroid on the incision line, which may cause torrential bleeding if the fibroid is accidentally incised [ 13 ]. Besides that, if placenta praevia is anterior, then the fetus can only be delivered by cutting through the placenta, which aggravates the bleeding further.…”

Section: Discussionmentioning

confidence: 99%

Central Placenta Previa With Coexisting Central Cervical Fibroid in Pregnancy: An Obstetrician’s Nightmare

Barik¹,

Singh²,

Choudhary³

et al. 2021

Cureus

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Pregnancy with central placenta praevia and a coexistent cervical fibroid is infrequently encountered in clinical practice. A patient with this unusual combination is a nightmare for any clinician, especially if she presents with obstetric emergencies. In this scenario, there is a high chance of catastrophic obstetric hemorrhage during the peripartum period leading to a fatal outcome. We report a case of a 27-year-old lady at term pregnancy, who was brought to emergency in labor pain with antepartum hemorrhage. Subsequently, she was diagnosed to have central placenta praevia along with a large central cervical fibroid. An emergency cesarean section was performed to deliver the child. Intraoperatively, she had a major postpartum hemorrhage which was successfully managed with intrauterine balloon tamponade, hemostatic sutures, and uterine artery ligation. We could avoid cesarean hysterectomy by precise anticipation, meticulous planning, and step-wise protocol-driven management.

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A Rare Case of Pregnancy Complicated by Uterine Prolapse and Cervical Fibroid

Abstract: Barik et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 4.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Cited by 5 publications

References 16 publications

A case report of successful vaginal delivery in a patient with severe uterine prolapse and a review of the healing process of a cervical incision

A case report of successful vaginal delivery in a patient with severe uterine prolapse and a review of the healing process of a cervical incision

A rare case of obstructed labor due to sever uterine prolapse; a case report and literature review

Central Placenta Previa With Coexisting Central Cervical Fibroid in Pregnancy: An Obstetrician’s Nightmare

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