Incarcerated Procidentia: A Rare Complication of Carcinoma Cervix

Abstract

A rare case of a huge carcinoma of the cervix leading to sudden uterovaginal prolapse and incarcerated procidentia, in a postmenopausal woman is presented. The woman presented as an emergency with severe distress. The problem was successfully managed by reducing the uterovaginal prolapse under deep sedation and starting radiotherapy as an emergency procedure at the same sitting. The role of immediate radiotherapy in the management of such an emergency situation is discussed.

Using a pessary during radiotherapy in reducible pelvic organ prolapse and vaginal cancer: a case report and review of the literature

“…Rarely, as seen in our patient, due to chronic irritation, primary vaginal cancer may develop secondary to prolonged POP. However, primary vaginal or cervical cancer and POP combination is rarely reported in the literature [4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19]. The increase in the incidence of both POP and primary vaginal cancer with advancing age makes this combination more frequent in elderly people [1].…”

“…Vaginal trauma, chronic irritation, and inflammation of the vaginal mucosa can cause primary vaginal cancer in patients with POP [3]. However, a combination of POP and primary vaginal or cervical cancer is an extremely rare entity [4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19].…”

Locally advanced cervical cancer associated with complete uterine prolapse

“…Although uterine prolapse and carcinoma of the uterine cervix are not rare event in the underdeveloped countries, their association is very uncommon (Rocker 1958;Cabaniss & Crocker 1963;Daw 1972;Wong et al 1990;Kriplani et al 1995;Yamakawa et al 1998;da Silva et al 2002). It generally occurs in old women and in more than 60% of the cases the uterine prolapse is of at least 10 years of duration (Cabaniss & Crocker 1963).…”

“…Most patients present the disease either confined to the cervix or with limited extension beyond it. The association of this tumour with a prolapsed uterus is a rare event particularly in the developed countries (Rocker 1958;Cabaniss & Crocker 1963;Daw 1972;Wong et al 1990;Kriplani et al 1995;Yamakawa et al 1998).…”

Trachélocèle incarcérée à la suite d’un fibrome géant du col utérin : à propos d’un cas

“…Le seul cas décrit est le fait de Suneja et al en 2003 [1]. Les autres prolapsus incarcérés rapportés l'étaient sur cancer cervical [2]. L'incarcération est expliquée par le volume de la masse dans les deux cas.…”