Large Nabothian Cyst: A Rare Cause of Nulliparous Prolapse
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Introduction
Pelvic organ prolapse is an issue of major health concern. Genital prolapse is commonly observed in postmenopausal and multiparous women. However, nulliparous women contribute to 2% of prevalence [1]. The etiological factors implicated in the nulliparous include inherent defect in pelvic supports for example Ehler-Danlos syndrome, congenital shortness of vagina, and deep uterovesical and uterorectal pouches. It can also be attributed to spina bifida occulta and split pelvis which result in inherent weakness of pelvic floor support. Family history of prolapse also confines congenital nature of prolapse. We report a case of 21-year-old female who presented with a large nabothian cyst contributing to prolapse. This is the first case reported in the literature.

Case Report
A 21-years-old unmarried nulliparous female presented with complaints of something coming out of vagina for 8 years associated with discharge per vaginum. Menstruation was normal. There were no urinary or bowel complaints, chronic cough, constipation, heavy weight lifting, and no family history of similar problem. General physical and systemic examination including nervous system and vertebral column examination were unremarkable. Local genital examination revealed third-degree cervical descent manifesting as a cystic swelling protruding through the introitus. External os was compressed and deviated to one side due to swelling....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3384920/
Dr. R●●●●●●●e N●●●●●●●i and 4 others like this
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