Uterovaginal prolapse following suspected sexual abuse to a child: a case report

Abstract Background Uterovaginal prolapse occurs when damaged connective tissues allow the uterus to drop into the vagina. Rare in children, uterovaginal prolapse can occur as a result of violent sexual assault. This case is being reported because there has been no previous report of acquired pelvic...

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Bibliographic Details
Main Authors: Odion-Obomhense Kesiena Helen, Ntaji Maureen Iru, Ekpebe Patrick Akpofure, Afeyodion Akhator
Format: Article
Language:English
Published: SpringerOpen 2021-09-01
Series:Annals of Pediatric Surgery
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Online Access:https://doi.org/10.1186/s43159-021-00105-8
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Summary:Abstract Background Uterovaginal prolapse occurs when damaged connective tissues allow the uterus to drop into the vagina. Rare in children, uterovaginal prolapse can occur as a result of violent sexual assault. This case is being reported because there has been no previous report of acquired pelvic organ prolapse following trauma suspected to be sexual abuse in a child in our setting. Case presentation Two-year-old female presented to our hospital with a 3-day history of abnormal protrusion from the vagina and a 2-day history of bleeding per vagina. Traumatic rupture of the hymen was observed. The urethra was not edematous or hyperemic. The reduction was done successfully under sedation and maintained using a crepe bandage. There was no recurrence after 3-month follow-up. Conclusions Uterovaginal prolapse presenting among children below 5 years is rare. If bleeding per vagina is reported in a child, the clinician should be aware of the possibility of uterovaginal prolapse.
ISSN:2090-5394