Tehran University of Medical Sciences Frontiers in Emergency Medicine 2717-3593 9 2 2025 05 18 e16 e16 Renan da Silva Department of Internal Medicine, Faculty of Medicine of Itajubá, Minas Gerais, Brazil. Marlon Olivetti Department of Vascular Surgery, Santa Marcelina Hospital, São Paulo, Brazil. José Henrique Torres Department of Urology, Postgraduate Program in Translational Medicine, Department of Medicine, Paulista School of Medicine, Federal University of São Paulo, Brazil. 2024 12 15 2025 03 08 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. https://fem.tums.ac.ir/index.php/fem/article/view/1524 https://fem.tums.ac.ir/index.php/fem/article/download/1524/518