The Clinic and Management of a Prolapsed Gravid Uterus Incarcerated Through the Anal Orifice in the Resource‐Limited Setting: A Case Report

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Authors: Bandeke Matabishi Destin, Mongwa Mbikilile Justin, Heritier Balirwa, Byabene Gloire, Mukanire Ntakwinja, Désiré Munyali Alumeti
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Abstract

Prolapse of the gravid uterus, which cannot be spontaneously reduced through the anal orifice, is extremely rare. It is considered to be incarcerated and constitutes a clinical and therapeutic emergency, as it endangers fetal and maternal life. However, few cases have been reported in the literature. Because of the rarity of these prolapses of the gravid uterus and their clinical presentation, especially in young women in rural areas with armed conflicts, in the form of a mass protruding from the anal canal with a reduction in the volume of the abdomen, the clinical diagnosis provides guidance, and an ultrasound gives the age of the pregnancy. However, reduction by laparotomy under general anesthesia can be a therapeutic alternative in resource-limited settings. In this study, we report on the clinic and management of a prolapsed gravid uterus incarcerated through the anal orifice in a 24-year-old woman in a resource-limited setting.

Fields of Study & Subjects

Maternal and fetal healthcare Maternal and Perinatal Health Interventions Pregnancy-related medical research

Publication details

Journal / source
Case Reports in Obstetrics and Gynecology
Volume
2026
Issue
1
Pages
1169916–1169916
Publication date
1 January 2026
Language
EN