Case ReportUterovaginal Prolapse in a Newborn with Meningomyelocele: Case Report
Introduction
Meningomyelocele is the most common neural tube defect (NTD). Affected individuals might experience hydrocephalus, motor deficits (weakness of the lower limbs, urinary and fecal incontinence), sensory disturbances, and orthopedic abnormalities (club foot, contractures of the lower limbs, hip dislocation, scoliosis, kyphosis).1,2 Although uncommon, prolapse of the genital organs might also be seen in patients with severe forms of meningomyelocele, which is thought to result from the lack of innervation of the pelvic floor muscles.3, 4, 5 In this case report we present a newborn with uterovaginal prolapse associated with meningomyelocele.
Section snippets
Case
A baby girl weighing 3170 g (40th percentile) with a congenital NTD was born to a 29-year-old mother by cesarean section at the 38th gestational week. She was admitted to the neonatal intensive care unit, and antibiotic treatment was initiated because the meningomyelocele sac had spontaneously perforated during labor.
There was parental consanguinity. The mother also had gestational diabetes controlled by diet and had begun folic acid supplementation after the sixth week of gestation. Triple
Summary and Conclusion
NTDs are a group of congenital malformations in which the spinal column is bifid as a result of failed closure of the embryonic neural tube during the fourth week after fertilization. Myelomeningocele is the most common and most severe form, in which the spinal cord is open dorsally and forms a meningeal sac in the lumbosacral region. Affected individuals might experience hydrocephalus, motor deficits, sensory disturbances, orthopedic anomalies, and urogenital abnormalities. Surgical
References (6)
- et al.
Genital prolapse in a newborn following resection of sacrococcygeal teratoma
J Pediatr Adolesc Gynecol
(2009) - et al.
Nöral Tüp Defektleri
- et al.
Spina bifida
Nat Rev Dis Primers
(2015)
Cited by (0)
The authors indicate no conflicts of interest.