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Transvaginal small bowel evisceration in known case of uterine prolapse due to trauma

Umesh Gheewala1, Abhishek Agrawal2, Radha Shukla3

  • 1Assistant Professor, Department of Surgery, Shree Krishna Hospital , Karamsad, India .

Journal of Clinical and Diagnostic Research : JCDR
|March 5, 2015
PubMed

Spontaneous transvaginal bowel evisceration is a rare surgical emergency with only a few cases reported and particularly postmenopausal, posthysterectomy, multiparous elderly women are considered to be at higher risk for development of bowel evisceration. It is difficult to manage such a patient for any surgeon and poses significant challenges especially intraoperatively. Here, we report a case of vaginal vault rupture with small bowel evisceration through the vagina in a known case of uterine prolapse and highlight the risk factors, clinical presentation, and treatment options for this rare surgical emergency.

Keywords:
Intestinal herniationMultiparaousPostmenopausalTraumaUterine prolapse

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