Introduction: Spina bifida is the most common neural tube defect. Uterine prolapse is
an exceptional presentation of its complications. We aim to describe the
clinical and progressive features of uterine prolapse in a newborn baby with
spina bifida. Observation: 19-day-old newborn. Admitted for spina
bifida. The clinical examination showed an anal gaping, the presence of
uterovaginal prolapse and bilateral equine varus clubfoot. The particularity was that this prolapse had a spontaneous
resolution but appears with screams. We made a compression bandage at
the time of resolution. After a 6-month of follow-up, the baby is in good
general condition and, there is no recurrence of the prolapse. Conclusion: Uterine prolapse is a rare complication of spina bifida. The main therapeutic
component remains the prevention of spina bifida.
References
[1]
Aykanat, A., Solakoglu, E., Bilginer, B., Celik, H.T. and Yigit, S. (2020) Uterovaginal Prolapse in a Newborn with Meningomyelocele: Case Report. Journal of Pediatric and Adolescent Gynecology, 33, e607-e609.
https://doi.org/10.1016/j.jpag.2020.04.001
[2]
Abdelsalam, S.E.A., Desouki, N.M. and Alaal, N.A.A. (2006) Use of Foley Catheter for Management of Neonatal Genital Prolapse: Case Report and Review of the Literature. Journal of Pediatric Surgery, 41, 449-452.
https://doi.org/10.1016/j.jpedsurg.2005.11.031
[3]
Baskaran, D. and Mohan Nazeeb, P. (2012) Purse String Suturing in a Neonatal Prolapsed Uterus. Indian Journal of Surgery, 74, 143-145.
https://doi.org/10.1007/s12262-011-0361-z
[4]
Ajabor, L.N. and Okojie, S.E. (1976) Genital Prolapse in the Newborn. International Surgery, 61, 496-497.
[5]
Yildizdas, H.Y., Ece, ü., Yurdakul, G.B. and Kolagasigil, E. (2019) Spontaneously Resolved Uterine Prolapse in a Neonate with Spina Bifida. The Turkish Journal of Pediatrics, 61, 979-981. https://doi.org/10.24953/turkjped.2019.06.026
[6]
Jijo, Z.W., Betele, M.T. and Ali, A.S. (2018) Congenital Uterovaginal Prolapse in a Newborn. Case Reports in Obstetrics and Gynecology, 2018, Article ID: 1425953.
https://doi.org/10.1155/2018/1425953
[7]
Lockwood, G., Durkee, C. and Groth, T. (2012) Genital Prolapse Causing Urinary Obstruction and Hydronephrosis in a Neonate: A Case and Review of the Literature. Journal of Neonatal Surgery, 1, 39.
[8]
McCarty, D.J., Sheinberg, D.L., Luther, E. and McCrea, H.J. (2019) Myelomeningocele Associated Hydrocephalus: Nationwide Analysis and Systematic Review. Journal of Neurosurgery, 47, E5. https://doi.org/10.3171/2019.7.FOCUS19469