Subtotal uterine prolapse and pregnancy.
OBJECTIVE
A successful reposition of a subtotal gravid uterus of an 29 year old patient and prevention of a spontaneous abortion is presented.


RESULTS
An 29 year old patient was admitted to the clinic due to pains in the lower abdomen, miction difficulties and a subtotal uterine prolapse. During the examination in the gynecological position upon disinfection completed, a manual reposition of a gravid uterus was performed. During the reposition, we found the uterus in contraction and the cervical channel one-finger size opened up to the internal cervical os. We introduced Mikulitz tampon as a support while the patient undergone laboratory and anesthesiology pre-operative program. In a short OET anesthesia, the uterine reposition was performed by Smith-Hodge pessary 85 mm and cerclage sec. McDonald in order to prevent a spontancous abortion caused by cervical insufficiency. The postoperative status of the patient was regular/normal. We recommended a bed rest and diazcpam (Apaurin) tbl a 3 mg 3 x 1.


CONCLUSIONS
Complete treatment was performed under the short OET anesthesia, and a recovery of the patient was successful. All parameters of the pregnancy were normal.
Izetbegovic
Sebija
S
Gynecology and Obstetrics Clinic, Clinical Centre University of Sarajevo, Bosnia and Herzegovina.
Dizdarevic
Jadranka
J
D000328:Adult; D005260:Female; D006801:Humans; D011247:Pregnancy; D011248:Pregnancy Complications / Q000601:surgery; D014596:Uterine Prolapse / Q000601:surgery