Uterovaginal prolapse following suspected sexual abuse to a child: a case report

Abstract

Background Uterovaginal prolapse occurs when damaged connective tissues allow the uterus to drop into the vagina. Rare in children, uterovaginal prolapse can occur as a result of violent sexual assault. This case is being reported because there has been no previous report of acquired pelvic organ prolapse following trauma suspected to be sexual abuse in a child in our setting. Case presentation Two-year-old female presented to our hospital with a 3-day history of abnormal protrusion from the vagina and a 2-day history of bleeding per vagina. Traumatic rupture of the hymen was observed. The urethra was not edematous or hyperemic. The reduction was done successfully under sedation and maintained using a crepe bandage. There was no recurrence after 3-month follow-up. Conclusions Uterovaginal prolapse presenting among children below 5 years is rare. If bleeding per vagina is reported in a child, the clinician should be aware of the possibility of uterovaginal 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 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]. Neonatal uterovaginal prolapse was first described by Conovius in 1723 [4] [8].…”