# The Clinic and Management of a Prolapsed Gravid Uterus Incarcerated Through the Anal Orifice in the Resource‐Limited Setting: A Case Report

## TL;DR

This case report describes the rare condition of a pregnant uterus prolapsed through the anal canal in a 24-year-old woman and its management in a resource-limited setting.

## Contribution

The paper presents a rare clinical case and offers a therapeutic approach for managing prolapsed gravid uterus in low-resource environments.

## Key findings

- Prolapsed gravid uterus through the anal orifice is extremely rare and life-threatening.
- Clinical diagnosis and ultrasound can help confirm the condition and pregnancy age.
- Laparotomy under general anesthesia is a viable treatment option in resource-limited settings.

## Abstract

Prolapse of the gravid uterus, which cannot be spontaneously reduced through the anal orifice, is extremely rare. It is considered to be incarcerated and constitutes a clinical and therapeutic emergency, as it endangers fetal and maternal life. However, few cases have been reported in the literature. Because of the rarity of these prolapses of the gravid uterus and their clinical presentation, especially in young women in rural areas with armed conflicts, in the form of a mass protruding from the anal canal with a reduction in the volume of the abdomen, the clinical diagnosis provides guidance, and an ultrasound gives the age of the pregnancy. However, reduction by laparotomy under general anesthesia can be a therapeutic alternative in resource‐limited settings. In this study, we report on the clinic and management of a prolapsed gravid uterus incarcerated through the anal orifice in a 24‐year‐old woman in a resource‐limited setting.