Le prolapsus génital néonatal: entité exceptionnelle (à propos d’un cas)

Abstract

Le prolapsus génital est une entité exceptionnelle chez le nouveau-né. Il est le plus souvent associé à des anomalies congénitales du système nerveux central. Nous rapportons le cas d’un nouveau-né à terme ayant un prolapsus génital sans anomalies de système nerveux central a travers lequel nous rapportons la particularité diagnostic et thérapeutique de cette pathologie rarissime.

Case Report: Neonatal genital prolapse in a pair of premature Twins

“…Another etiological subgroup is cases with normal neuroanatomy, which have diverse causes like labor injuries during delivery or increased intra-abdominal pressure ( 4 , 8 – 10 ). In cases of mild prolapse, some reports have shown that they were not accompanied with congenital neurological abnormalities ( 11 , 12 ). Other reasons such as intrauterine malnutrition, long-term feeding intolerance, prolonged hormone therapy, fluid restriction, and elevated intra-abdominal pressure also have been indicated relevant to the happening of prolapse ( 4 , 13 ).…”

“…For the treatment of neonatal genital prolapse, the most common used method is manual reduction, showing favorable outcomes for cases of mild prolapse and with no relapse during follow-up ( 11 ). However, there is a tendency for recurrence constantly after manual reduction in some cases, especially in infants with moderate prolapse.…”

Uterovaginal Prolapse in the Newborn: A Case Report from the University Hospital of Conakry

“…Uterovaginal prolapse is defined as the descent and protrusion of the uterus and vagina outward through the vaginal opening [1] [2]. It is a rare condition in newborns [3] [4] [5] [6]; diagnosis is usually made at birth or in the first few days of life [4] [7]. It is most often associated with neural tube closure anomalies, in particular myelomeningocele and spina bifida occulta [2] [3] [5].…”

“…[3] [5][6].Neonatal uterovaginal prolapse is a rare condition[4] [5]; it mainly affects new-K. Balla et al DOI: 10.4236/ojped.2023.131008 72 Open Journal of Pediatricsborns with congenital anomalies of the central nervous system in 82% to 86% of cases, in particular neural tube closure anomalies[5] [6]. Our patient is a case of congenital utero-vaginal prolapse without any central nervous system.The mechanisms at the origin of utero-vaginal prolapse are not yet well elucidated.…”