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Published on: September 12, 2025
Vaginal cuff dehiscence with adnexal mass evisceration after abdominal hysterectomy
My-Linh T Nguyen1, Adanna L Anyikam, Michele Paolucci
1Department of Obstetrics and Gynecology, Metropolitan Hospital Center of New York Medical College, United States.
Introduction:
More commonly, a vaginal cuff dehiscence is a complication of robotic or laparoscopic hysterectomy while dehiscence is less commonly observed following total abdominal or vaginal hysterectomies.
Presentation Of Case:
Three years after an uncomplicated total abdominal hysterectomy for fibroid uterus, a 50 year old female with a known, large adnexal mass presented with vaginal cuff dehiscence and prolapse of the adnexal mass through the vaginal cuff.
Discussion:
We discuss surgical risk factors including route of hysterectomy, method of colpotomy and vaginal cuff closure as contributing factors for vaginal cuff dehiscence in our patient.
Conclusion:
Any large pelvic mass that may potentially exert pressure necrosis on the vaginal cuff, even remote from hysterectomy may result a vaginal cuff dehiscence. Emergent surgical intervention is warranted.
