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Updated: Jun 14, 2026

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Published on: July 27, 2017
Vaginal vault rupture with evisceration of small intestine during coitus
1Department of Obstetrics and Gynecology, Mae Sot General Hospital, Tak, Thailand. lekmd89@yahoo.com
Abstract:
In 2009, a 41-year-old Thai woman who had undergone abdominal hysterectomy 4 months earlier was admitted because of bleeding per vagina without pain during coitus for 1 day. She had undergone pelvic examination that disclosed small intestine in vagina and scanty bleeding of vaginal vault. Closure of the rupture of the vaginal vault during laparotomy was completed, resulting in satisfactory condition. Vaginal vault rupture is a rare condition. Prompt surgical and medical intervention are required to prevent complications. Incidence, risk factors, and management for rupture of the vaginal vault that occurs after total abdominal hysterectomy are discussed.
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