Massive uterovaginal prolapse in a young nulligravida with ascites: a case report.
BACKGROUND
Uterovaginal prolapse commonly affects older, multiparous women.


METHODS
A 21-year-old nulligravida was referred to us for management of massive uterovaginal prolapse secondary to chronic ascites. Conservative attempts at reducing the patient's prolapse were unsuccessful. She underwent anterior colporraphy, reduction and ligation of an enterocele sac, and sacrospinous cervicopexy for treatment of the prolapse.


CONCLUSIONS
An option for treating women with massive uterovaginal prolapse secondary to chronic ascites is reduction and ligation of the enterocele sac and sacrospinous cervicopexy.
Davis
John D
JD
Department of Obstetrics and Gynecology, University of Florida College of Medicine, P.O. Box 100294, Gainesville, FL 32610-0294, USA. davisjd@obgyn.ufl.edu
Carroccio
Sheyna
S
D000328:Adult; D001201:Ascites / Q000150:complications; D002908:Chronic Disease; D005260:Female; D013509:Gynecologic Surgical Procedures / Q000379:methods; D006801:Humans; D012447:Sacrum; D013536:Suture Techniques; D014596:Uterine Prolapse / Q000209:etiology / Q000601:surgery*; D014621:Vagina / Q000601:surgery*