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Vaginal cuff dehiscence and evisceration 11 years after a radical hysterectomy: A case report
Yacine Ben Safta1, Montassar Ghalleb1, Aymen Baccari1
1General Surgery Department A, Charles Nicolle Hospital, Faculté de médecine de Tunis El Manar, Tunisia.
Introduction:
Vaginal cuff dehiscence (VCD) and evisceration (VCDE) are rare but rather serious complications of hysterectomy procedures. We aimed to report a case of VCDE happening eleven years after the initial surgery and review a treatment protocol of this rare complication.
Case:
A 68 years old Tunisian female patient In 2004, the patient underwent concomitant chemoradiation followed by total abdominal radical hysterectomy for a squamous cell carcinoma of the cervix. Eleven years later, after an abdominal thrust due to a strong cough the patient had a protrusion of the two small bowels. Patient was surgically treated following a combined approach. The follow-up did not show any sign of relapse.
Conclusion:
VCDE is a rare complication of hysterectomy that carries a lot of mobimortality if not treated on time. Surgery without delay is usually a guarantee for a god outcome.
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