Rare case of stage four uterovaginal prolapse with vaginal tungiasis in a postmenopausal woman

Tungiasis is an ectoparasitic skin infestation caused by Tunga penetrans, predominantly affecting impoverished communities. In most cases, lesions are confined to the foot. Our case involves a 65-year-old para 8 woman who presented with a non-reducible stage four uterovaginal prolapse of 1-month duration, associated with intense vaginal itching. Examination revealed multiple nodules with whitish discs and central dark points on the prolapsed posterior vaginal wall. Under spinal anesthesia, surgical removal of embedded fleas was performed, followed by vaginal hysterectomy, bilateral salpingectomy, complete colpocleisis, and perineorrhaphy. The patient was stable postoperatively and discharged on the third day. This case highlights the rare occurrence of vaginal tungiasis complicating pelvic organ prolapse in elderly women and emphasize the importance of thorough evaluation and surgical management in endemic settings.