Transvaginal evisceration after laparoscopic hysterectomy: case report
Abstract
Transvaginal evisceration is a rare condition characterized by the externalization of abdominal viscera through the vagina. Menopause and hysterectomy are the primary risk factors. A postmenopausal woman presented to the emergency department with evisceration of the small intestine through the vagina three hours post-coitus. She had a history of laparoscopic hysterectomy performed three years prior. The patient underwent prompt laparotomic repair of the vaginal cuff. The diagnosis of transvaginal evisceration is primarily clinical, and immediate treatment aims to maintain intestinal viability and repair the vaginal cuff. The surgical approach is based on the surgeon’s experience, the patient's clinical condition, and resource availability.
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10. Ceccaroni M, Berretta R, Malzoni M, Scioscia M, Roviglione G, Spagnolo E, et al. Vaginal cuff dehiscence after hysterectomy: a multicenter retrospective study. Eur J Obstet Gynecol Reprod Biol. 2011;158(2):308-13.
2. Apicella M, Mayrink M, Rajadhyaksha CD, Farcy DA. A case of transvaginal small bowel evisceration following hysterectomy with discussion of emergency department diagnosis and management. Case Rep Emerg Med. 2022;2022:1334302.
3. Nezhat C, Kennedy Burns M, Wood M, Nezhat A, Nezhat F. Vaginal cuff dehiscence and evisceration: a review. Obstet Gynecol. 2018;132(4):972-85.
4. Alfraidi R, Abdulaaly N, Alharbi A, Almodhaiberi H, Ali B, Sabagh H. Transvaginal small bowel evisceration: case report and review of literature. Int J Surg Case Rep. 2022;96:107322.
5. Nikolopoulos I, Khan H, Janakan G, Kerwat R. Laparoscopically assisted repair of vaginal evisceration after hysterectomy. BMJ Case Rep. 2013;2013.
6. Pinto CJ, Hegde S, Karekal S, Anneaud D, Sharma A. Spontaneous transvaginal small bowel evisceration with uterine procidentia: a report of a rare case. Cureus. 2022;14(7):e27319.
7. Rueda-Espinel S, Cobos-Mantilla F. Manejo de evisceración intestinal transvaginal secundaria a dehiscencia de la cúpula vaginal posterior a histerectomía: reporte de caso y revisión de la literatura. Revista Colombiana de Obstetricia y Ginecología. 2019;70(2):129-35.
8. Tsakona S, Iavazzo C, Fotiou A, Kokkali K, Vorgias G. Vaginal evisceration after abdominal hysterectomy: a case report. Cureus. 2022;14(11):e31191.
9. Ribeiro SP, Silva AC, Maciel J, Antunes AS. Spontaneous transvaginal evisceration: a case of recurrence. BMJ Case Rep. 2016;2016.
10. Ceccaroni M, Berretta R, Malzoni M, Scioscia M, Roviglione G, Spagnolo E, et al. Vaginal cuff dehiscence after hysterectomy: a multicenter retrospective study. Eur J Obstet Gynecol Reprod Biol. 2011;158(2):308-13.
| Files | ||
| Issue | In press | |
| Section | Case (report / study) | |
| Keywords | ||
| Emergency Medicine Hysterectomy Small intestine Visceral prolapse | ||
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
How to Cite
1.
da Silva R, Olivetti M, Torres JH. Transvaginal evisceration after laparoscopic hysterectomy: case report. Front Emerg Med. 2025;.
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