Background: Uterovaginal prolapse commonly affects older, multiparous women.
Case: A 21-year-old nulligravida was referred to us for management of massive uterovaginal prolapse secondary to chronic ascites. Conservative attempts at reducing the patient's prolapse were unsuccessful. She underwent anterior colporraphy, reduction and ligation of an enterocele sac, and sacrospinous cervicopexy for treatment of the prolapse.
Conclusion: An option for treating women with massive uterovaginal prolapse secondary to chronic ascites is reduction and ligation of the enterocele sac and sacrospinous cervicopexy.