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Transvaginal evisceration after radical abdominal hysterectomy
Seok-Mo Kim1, Ho-Sun Choi, Ji-Su Byun
1Department of Obstetrics and Gynecology, College of Medicine Chonnam National University, Kwangju, Korea.
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.