Vaginal evisceration as rare but a serious obstetric complication: A case series.

Case Rep Womens Health

Department of General Surgery, Pt. B. D. Sharma, PGIMS, Rohtak, Haryana, India.

Published: April 2016

Introduction: Gut prolapse through vagina is rare complication with only few cases reported in the literature. This article highlights untrained professionals induced obstetrical trauma as a cause of vaginal evisceration leading to serious but preventable complications.

Presentation Of Case: Case 1: A 27 years old female, PL, had full term vaginal delivery of an IUD baby and presented 4 days later with small bowel evisceration through posterior vaginal wall. Case 2: A 24 years old female, PA had underwent unsafe abortion and presented in shock, with small bowel evisceration through anterior uterine wall. Case 3: A 26 years female, PA, underwent evacuation for incomplete abortion and presented with omental prolapse through anterior uterine wall.

Discussion: Obstetrical trauma with associated evisceration of intraabdominal contents is a potentially serious complication that requires surgical intervention. General awareness may decrease these unsafe practices and thus would have impact in reducing maternal morbidity and mortality.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5863029PMC
http://dx.doi.org/10.1016/j.crwh.2016.05.001DOI Listing

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