AI Article Synopsis
- - Vaginal evisceration is a rare and serious complication that can occur after vaginal hysterectomy, requiring immediate detection and surgical intervention to avoid severe outcomes like bowel ischemia and sepsis.
- - A case study involved an 84-year-old woman who, two years post-hysterectomy, experienced acute abdominal pain and had her small bowel protruding through the vaginal vault.
- - During surgery, the bowel was manually repositioned without the need for resection, and the condition's causes are unclear but likely involve multiple factors; various surgical methods are effective, so the chosen approach should match the patient's specific situation.
Article Abstract
Vaginal evisceration is an exceedingly rare and poorly documented complication following vaginal hysterectomy. Prompt detection and surgical intervention are critical to prevent severe complications such as bowel ischemia, perforation, and secondary sepsis. We present the case of an 84-year-old woman with a history of vaginal hysterectomy two years prior, who presented with acute abdominal pain and a significant portion of her small bowel protruding through a defect in the vaginal vault. The patient was urgently transferred to the operating room, where the loops of the small bowel were manually reduced through the vaginal defect. As the bowel appeared viable, no resection was required. The etiology of this condition is unclear and likely multifactorial. Various surgical approaches, including laparoscopic, abdominal, transvaginal, and combined techniques, have been described, all offering comparable outcomes. Therefore, the choice of surgical procedure should be tailored to the patient's clinical presentation.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11433708 | PMC |
| http://dx.doi.org/10.3390/medicina60091388 | DOI Listing |
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