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Unusual presentation of more common disease/injury
CASE REPORT
Salvage from cervical dystocia in third degree uterovaginal prolapse: Duhrssen’s incision
  1. Manju Lata Verma,
  2. Vartika Tripathi,
  3. Uma Singh,
  4. Zakia Rahman
  1. Department of Obstetrics and Gynaecology, King Georges Medical University Lucknow, Lucknow, India
  1. Correspondence to Dr Manju Lata Verma, gaganmlv{at}gmail.com

Summary

We present a case of a 28-year-old woman second gravida with a full-term pregnancy who presented to us in active phase of labour with third degree uterovaginal prolapse complicated by entrapment of fetal head by dystocia of cervix and fetal distress. Patient was immediately shifted to the operation theatre and prompt delivery was conducted by giving Duhrssen’s incision on the highly vascular, oedematous prolapsed cervix. The outcome was an alive and healthy male baby. Duhrssen’s incision was stitched with minimal blood loss. Postnatal management included antibiotics and daily intravaginal packing. Patient was discharged along with the baby in satisfactory condition.

  • obstetrics, gynaecology and fertility
  • pregnancy
  • obstetrics and gynaecology

https://doi.org/10.1136/bcr-2017-223821

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    Footnotes

    • Contributors VT and MLV were responsible for the preparation of manuscript case procedure. US revised the manuscript. ZR was involved in the data collection.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.