A rare case of pregnancy complicated by bladder exstrophy and uterine prolapse

Abstract

Introduction: Uterine prolapse and bladder exstrophy (BE) during pregnancy is a rare condition. The aim of this study was to present a rare case of pregnancy which complicated by both the bladder exstrophy and uterine prolapse. Case presentation: A 39 year old pregnant woman (gravid 2, para 1) presented to the maternity department at 39 weeks of gestation with labor pain. Physical examination showed regular uterine contractions; the cervix was completely out of the vaginal opening with dilatation 3 cm and effacement 30%. She had the history of multiple surgeries for correction of bladder exstrophy and also suffered from uterine prolapse .In active labor, abnormal fetal heart rate tracing happened, so emergent cesarean section was planned and a healthy neonate with the normal Apgar score was born. At regular follow-up until 4 months after delivery, there was no sign or symptom of uterine proplase. Conclusion: Multidisciplinary management of patients with BE and uterine prolapse may result in the optimal perinatal outcomes. Uterine prolapse may disappear after delivery even in the complicated case of bladder exstrophy.

Keywords

• Uterine prolapse
• Bladder exstrophy
• Pregnancy
• Complication