Uterovaginal Prolapse in a Newborn with Meningomyelocele: Case Report

Abstract

Background: Neural tube defects are a group of congenital malformations in which the spinal column is bifid as a result of failed closure of the embryonic neural tube. Although not common, they might be complicated with pelvic organ prolapse mostly due to abnormal innervation and the resulting atrophy of the pelvic floor musculature. Case: In this case report we present a newborn with uterovaginal prolapse in the setting of meningomyelocele, in whom the prolapse of pelvic organs spontaneously ameliorated after surgical correction of meningomyelocele.

Congenital uterovaginal prolapse in a newborn: a case report

“…The management depends on the clinical presentation, expectant management with spontaneous reduction has been successful in a few cases; however the rest may require a digital reduction with or without vaginal pessary and further surgical intervention. 5 The use of vaginal pessary after digital reduction followed by insertion of pessary and fixing the pessary to the vaginal wall has been reported as successful intervention. 6 In the published literature, Fraser was the first to describe the successful digital reduction of an isolated uterine prolapse in a newborn.…”

Uterine Prolapse: The Other Exceptional Complication of Spina Bifida in Newborns

“…Surgical treatment ranges from a simple labial suture to amputation of the cervix or even hysterectomy. Transabdominal uteropexy has also been reported [1] [3].…”

“…Spina bifida is a neural tube closure defect occurring during the fourth week of gestation. It is the most common neural tube defect [1]. It has consequences whose physiopathological evolution is often severe and requires long and evolutionary management.…”

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

“…Neonatal genital prolapse (NGP) is a rare disorder, which is often associated with spinal bifida, but it can also manifest in the absence of any underlying defects ( 1 , 2 ). The description of NGP firstly concentrated in term infants and then sporadic cases of NGP in premature infants were reported, but all of them were singleton pregnancy ( 3 , 4 ). No reports of twins about NGP have been retrieved.…”