Transvaginal evisceration after radical abdominal hysterectomy

Gynecol Oncol. 2002 Jun;85(3):543-4. doi: 10.1006/gyno.2002.6658.

Abstract

Background: Intestinal evisceration through the vagina is rare and transvaginal evisceration after transabdominal surgery is far more rare.

Case: We present an unusual case of a postmenopausal woman who presented with transvaginal evisceration of the small bowel after radical abdominal hysterectomy and pelvic lymphadenectomy.

Conclusion: This was a rare case of terminal ileal evisceration through a ruptured vaginal cuff after radical hysterectomy and bilateral pelvic lymphadenectomy. We performed a delayed closure of the vaginal defect through the vagina after manual reduction of the eviscerated small bowel, and the outcome was satisfactory.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Hysterectomy / adverse effects*
  • Hysterectomy / methods
  • Ileal Diseases / etiology*
  • Ileal Diseases / surgery
  • Middle Aged
  • Uterine Cervical Neoplasms / surgery
  • Vaginal Diseases / etiology*
  • Vaginal Diseases / surgery