Congenital Uterovaginal Prolapse Present at Birth
A 12-hour-old female neonate was presented to us with a fleshy mass protruding from the vulva since birth. The baby is a product of term gestation and was delivered breech. Labor was not prolonged, and there was no instrumental delivery. The baby passed meconium on the 1st day of birth and tolerated breast milk feeding.\nThe mother, a 31-year-old, para 3, seamstress had recurrent febrile conditions throughout the pregnancy and was treated at the primary health center where she booked. She neither ingested herbal medications nor any unprescribed drugs during pregnancy.\nOn examination, the child weighed 3.0 kg. There was a fleshy, reddish, and edematous mass protruding from the vulva []. The wall was thrown into folds. At the apex there was a blind-ended opening. The urethral opening was located separately above the mass. The anus was patent, and meconium stained finger noted on digital rectal examination. She has a sacral dimple with tufts of hair in it []. Lower limb motor activity, sensations, respiratory, and cardiovascular systems were all normal. No masses were felt on abdominal examination. The skin was neither wrinkled nor thrown into folds. Skin elasticity was normal.\nUnder sedation, size 6 Foley's urethral catheter was passed into the bladder. The mass was reduced by gripping it with the right hand and gently pushing it inwards. To prevent re-protrusion on straining, both lower limbs were strapped together using crepe bandage which was applied in a mermaid fashion extending from the buttocks to the lower legs sparing the anus for defecation. Both catheter and bandaging were removed after 72 h. Following successful reduction, the parents were unwilling to neither subject the child to further investigations nor comply with follow-up schedules. However, through contact tracing, the prolapse has not recurred 6 months after, and the child is growing appropriately.