Published: 2021-07-26

A rare case of utero-vaginal prolapse seen at third trimester: case report and review of literature

Adebayo Awoniyi, Aloy Okechukwu Ugwu, Sunusi Rimi Garba, Nneoma Kwemtochukwu Aniugwu, Augustine Egba, Olabisi Olanrewaju, Oluwaseun Emmanuel Familusi, Olayemi Emmanuel Olumakinwa, Kehinde Okunade


Pelvic organ prolapse (POP) is an infrequent cause of morbidity in pregnancy. We presented a case of stage three uterovaginal prolapse that was first noticed in the third trimester. Management of POP is individualized and its determined by the severity of the symptoms, stage of the prolapse, gestational age, patient’s desire and expertise of the gynaecologist. Different options of management have been proposed ranging from conservative to laparoscopy, hysterectomy in women with no desire for further child bearing. Vaginal delivery is an option; however, most obstetricians opt for elective caesarean section at term.



Pelvic organ prolapses, Conservative management, Caesarean section, Lagos

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Tsikouras P, Dafopoulos A, Vrachnis N, Iliodromiti Z, Bouchlariotou S, Pinidis P, et al. Uterine prolapse in pregnancy: risk factors, complications and management. J Matern Fetal Neonatal Med. 2014;27(3):297-302.

Zeng C, Yang F, Wu C, Zhu J, Guan X, Liu J. Uterine Prolapse in Pregnancy: Two Cases Report and Literature Review. Case Rep Obstet Gynecol. 2018;1805153.

Jiang Y, Zhang Y, Ma C, Wang Q, Xu C, Donovan C, et al. H7N9 not only endanger human health but also hit stock marketing. Adv Dis Control Prev. 2017;2(1):1-7.

Rabiu KA, Adewunmi AA, Badmus SA, Akinola OI, Akinlus FM. Pelvic Organ Prolapse in Lagos, Nigeria. Nigerian J Clinic Med. 2009: 2(2); 11-17.

Oraekwe OI, Udensi MA, Nwachukwu KC, Okali UK. Genital prolapse: A 5-year review at Federal Medical Centre Umuahia, Southeastern Nigeria. Niger Med J. 2016;57(5):286-9.

Jelovsek JE, Maher C, Barber MD. Pelvic organ prolapse. Lancet. 2007;369(9566):1027-38.

Ojiyi E, Anolue F, Ejekunle S, Nzewuihe A, Okeudo C, et al. Emergency Contraception: Awareness, Perception and Practice among Female Undergraduates in Imo State University, Southeastern Nigeria. Ann Med Health Sci Res. 2014;4(6):904-9.

Okeke TC, Ani VC, Ezenyeaku CC, Ikeako LC, Enwereji JO, Ekwuazi K. An audit of uterovaginal prolapse in Enugu, Southeast Nigeria. Am J Clin Med Res. 2013;1:23-5.