Post-Partum Giant Hysterocele: about an Uncommon Case Report - Abstract
Background: Pelvic organ prolapse affects more than 30% of the female population and preferentially concerns postmenopausal women. The main risk factors are vaginal parity, obesity and aging. However, cases of prolapse during pregnancy have been reported in the literature with a prevalence varying between 1/100000 and 1/15000 deliveries in the United States. The management is different according to the team and essentially depends on the term of the pregnancy and the complications due to the prolapse.
Case Presentation: We present herein the case of a 42 years old patient, highly multiparous Gravida 12 para 9, presenting a stage 3 uterine prolapse with an exteriorized but reducible uterus during pregnancy. Three months after a vaginal delivery, the patient came back to the hospital for non-regression of the prolapse. The physical examination revealed a stage 4 non reducible uterine prolapse completely exteriorized. She benefited from an inter-annexal hysterectomy by vaginal approach. The postoperative course was uneventful and she was discharged on day 3.
Conclusions: Prolapse of the gravid uterus is an uncommon event. Numerous complications are associated with it. The management of this pathology remains controversial and must be tailored to the severity of the prolapse, the gestational age gestational age and the patient’s wishes. A complete evaluation assessment is essential in the post-partum period, especially in case of a desire for a subsequent of a subsequent pregnancy.