Unusual Complication of Incarcerated Uterovaginal Prolapse: A Case Report
Gowri Dorairajan *
Department of Obstetrics and Gynecology Institution, Indira Gandhi Govt. Medical College & Research Institute, Kadirkammam, Puducherry-605009, India.
N. Hima Bindu
Department of Obstetrics and Gynecology Institution, Indira Gandhi Govt. Medical College & Research Institute, Kadirkammam, Puducherry-605009, India.
Priyadharshini Perumal
Department of Obstetrics and Gynecology Institution, Indira Gandhi Govt. Medical College & Research Institute, Kadirkammam, Puducherry-605009, India.
*Author to whom correspondence should be addressed.
Abstract
Aims: The case report aims to bring out a rare and life threatening complication of incarcerated utero-vaginal prolapse.
Case Report: We present a case of 55 yr old woman with incarcerated prolapse. Details of evolving clinical features and investigations that led to the suspicion of pelvic abscess are presented and discussed. Emergency intervention by colpotomy for draining the abscess was performed. Definitive surgery was performed 1 month after she fully recovered and the tissue edema and congestion subsided. Two stage management of the case is detailed.
Conclusion: Spontaneous pelvic abscess is a rare but life threatening complication of incarcerated prolapse. A two stage surgery in such a situation is associated with good outcome.
Keywords: Pelvic abscess, incarcerated prolapsed, urinary tract infection, pelvic inflammatory disease, colpotomy, procidentia.