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Published on: October 29, 2014
Subtle vaginal evisceration resulting in small bowel evisceration: a case report
Kar-mun C Woo1, Judith A Linden, Robert A Lowenstein
1Department of Emergency Medicine, Beth Israel Medical Center, New York, New York 10003, USA.
The Journal of Emergency Medicine
|September 10, 2011
Summary
Vaginal evisceration, a rare event, can present subtly with bowel obstruction. Early recognition is key to preventing bowel ischemia and improving patient outcomes.
Area of Science:
- Gynecology
- Gastroenterology
- Surgical Case Reports
Background:
- Vaginal evisceration of bowel contents is a rare gynecological emergency.
- It can be complicated by small bowel obstruction, a serious condition.
Observation:
- A 72-year-old woman with prior pelvic surgery presented with a vaginal mass and abdominal discomfort.
- Initial conservative management failed, with symptoms worsening over 48 hours.
Findings:
- Computed tomography confirmed vaginal evisceration with small bowel obstruction.
- The patient required surgical intervention, including partial small bowel resection and vaginal cuff repair.
Implications:
- Subtle presentations of vaginal evisceration require prompt recognition to prevent bowel ischemia.
- Risk factors include postmenopausal status, previous pelvic surgery, and enterocele.
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