Korean J Obstet Gynecol.
2010 Aug;53(8):727-731. 10.5468/kjog.2010.53.8.727.
A third stage pelvic organ prolapse due to cervical swelling during labor: A case report
- Affiliations
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- 1Department of Obstetrics and Gynecology, Seoul National University College of Medicine, Seoul, Korea. bjkimmd7@snu.ac.kr
- 2Department of Obstetrics and Gynecology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
- KMID: 2273991
- DOI: http://doi.org/10.5468/kjog.2010.53.8.727
Abstract
- Pelvic organ prolapse complicating pregnancy is a rare clinical condition and its incidence is one in 10,000~15,000 deliveries. It is associated with multiparity, low socioeconomic status, inadequate perinatal care, maternal malnutrition, previous abdominal surgery, and weakness of pelvic muscular and connective tissue. It can cause cervical dystocia, which leads to cervical laceration, uterine rupture, maternal and fetal death. We experienced a case, first in Korea, of cervical swelling that developed during labor, prolapsed beyond the vaginal introitus and thus obstructed the birth canal. The patient underwent cesarean section and subsequently received MgSO4 topical therapy and resulted in complete resolution. We report this case with a brief review of literature.
MeSH Terms
Figure
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Fig. 1 The 3rd stage pelvic organ prolapse: photograph showing the edematous anterior cervical lip (A). Cervical opening is noted when speculum is inserted posterior to the mass (B) but not when anterior to it (C).
Fig. 2 Cervical protruding mass measured with transvaginal ultrasonographic examination after manual reduction of the mass.
Fig. 3 Decreased cervical anterior lip mass is featured in postoperative day 6 (A) and day 13 (B) respectively.
Reference
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