Small Bowel Evisceration after Spontaneous Vaginal Cuff Rupture

Area of Science:

• Gastroenterology
• Surgical Emergencies
• Gynecologic Surgery

Background:

• Vaginal cuff dehiscence is a rare but serious complication following hysterectomy.
• Small bowel evisceration through a ruptured vaginal cuff presents as a surgical emergency.

Observation:

• A patient presented with acute abdominal pain, nausea, and vomiting eight weeks after a hysterectomy.
• Physical examination confirmed the diagnosis of small bowel evisceration secondary to vaginal cuff rupture.

Findings:

• Manual reduction of the eviscerated small bowel was performed in the emergency department.
• Immediate surgical repair was undertaken following the emergency department intervention.

Implications:

• Timely diagnosis and management in the emergency department can prevent significant morbidity and mortality.
• This case highlights the importance of recognizing rare surgical emergencies for optimal patient outcomes.