Vaginal evisceration is a rare gynecologic complication with less than 100 cases reported in the literature. We present a case of vaginal evisceration in a woman with multiple previous surgeries including a sacrocolpopexy. Vaginal mesh grafts have to be applied properly during sacrocolpopexy.
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Small bowel evisceration through the vagina after transvaginal mesh surgery for genital prolapse.
Taiwan J Obstet Gynecol
January 2025
School of Medicine, Fu Jen Catholic University, Hsinchuang, New Taipei City, Taiwan; Department of Obstetrics and Gynecology, Cathay General Hospital, Taipei, Taiwan. Electronic address:
Transvaginal Evisceration in a Patient With Rectovaginal Prolapse: A Twist in the Tale.
Cureus
December 2024
General Surgery, Hospital do Espírito Santo de Évora, Évora, PRT.
Transvaginal evisceration is a rare, potentially life-threatening condition involving herniation of intra-abdominal contents, typically the small bowel, through a defect in the vaginal wall. Most commonly observed in postmenopausal women with a history of pelvic surgery or trauma, it necessitates prompt surgical intervention. We report a unique case of transvaginal evisceration in a 67-year-old postmenopausal female with rectovaginal prolapse following minor trauma.
View Article and Find Full Text PDFSpontaneous transvaginal evisceration of small intestine in a case of long-standing uterine and rectal prolapse.
BMJ Case Rep
December 2024
Department of Surgery, Post Graduate Institute of Medical Education and Research and Capital Hospital, Bhubaneswar, Odisha, India
Spontaneous transvaginal small bowel evisceration, without recent trauma or surgery, is extremely rare. Complications include bowel obstruction, perforation, gangrene, septicaemia and death, requiring urgent surgical intervention. We report a case of a woman in her late 60s, who presented with 70-75 cm of small intestine eviscerated through the vagina, alongside a long history of uterine and rectal prolapse.
View Article and Find Full Text PDFSevere vaginal evisceration at a military treatment facility.
BMJ Case Rep
December 2024
General Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA
Article Synopsis
- * The case discussed involves an elderly woman in her 80s who experienced vaginal evisceration after a fall and was treated promptly at a military hospital.
- * The patient underwent emergency surgery to repair the evisceration and later received definitive surgery, with expert insights provided to help manage similar cases in the future.
Vaginal Cuff Dehiscence and Small Intestinal Prolapse in a Middle-Aged Woman Due to Ring Pessary Use.
Int J Womens Health
November 2024
Graduate School of Anhui Medical University, Hefei, Anhui, 23000, People's Republic of China.
Objective: Vaginal cuff rupture is a rare but serious postoperative complication predominantly occurring after hysterectomy. Given that it can lead to partial or total evisceration, bowel strangulation, sepsis, and acute mesenteric ischemia. Any instance of this complication should be treated as a surgical emergency.
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