Case presentation A 74-year-old postmenopausal female complaining of increasingly larger prolapse, which was accompanied by mild lower abdominal discomfort but no nausea or vomiting, vaginal bleeding or hematuria, was presented to the emergency department. History Obstetric history: Seven full-term vaginal deliveries Uterine prolapse for ten years Constipation for seven years: Spontaneous bowel movements fewer than once a week, defecation difficulty, defecating time >30 minutes, and high Wexner constipation score of 17 No history of gynecological surgery Hypertension and diabetes mellitus Medications included nifedipine and metformin.

Symptoms and characteristics She experienced sudden evisceration when she attempted to defecate and was admitted to the hospital. Complained of increasingly larger prolapse, accompanied by mild lower abdominal discomfort No experience of nausea or…