Rani Vibha, Pipal Dharmendra K
Gynaecology and Obstetrics, All India Institute of Medical Sciences Gorakhpur, Gorakhpur, IND.
General, Colorectal, and Minimal Access Surgery, All India Institute of Medical Sciences Gorakhpur, Gorakhpur, IND.
Cureus. 2022 Apr 15;14(4):e24168. doi: 10.7759/cureus.24168. eCollection 2022 Apr.
Pelvic Organ Prolapse (POP) is defined as the descent of one or more of the pelvic organs from their normal position. This is commonly associated with multiparity, postmenopausal status, and obesity. Most of the cases present as uterine descent with or without cystocele, rectocele, or enterocele. But, the descent of pelvic organs in adolescent and young, nulliparous women is an uncommon presentation. We report a case of a 19-year-old girl with extreme elongation of the cervix without uterine descent. Uterus size was normal, no adnexal abnormality was there. The patient was apprehensive about her future fertility and pregnancy outcome. This is a rare case as it has not been reported in the preceding three decades of literature searches and poses a challenge in management decisions because we must consider future fertility while restoring normal anatomy.
盆腔器官脱垂（POP）的定义是一个或多个盆腔器官从其正常位置下降。这通常与多产、绝经后状态和肥胖有关。大多数病例表现为子宫下降，伴有或不伴有膀胱膨出、直肠膨出或肠膨出。但是，青少年和年轻未生育女性盆腔器官下降是一种不常见的表现。我们报告一例19岁女孩，宫颈极度延长但无子宫下降。子宫大小正常，附件无异常。患者担心自己未来的生育能力和妊娠结局。这是一例罕见病例，因为在过去三十年的文献检索中均未报道过，并且在管理决策方面带来了挑战，因为在恢复正常解剖结构时我们必须考虑未来的生育能力。
