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Small bowel evisceration from vagina.
Wan Amir Wan Hassan1, Vignesh Narasimhan1, Asiri Arachchi1
1Colorectal Surgery, Department of Surgery, School of Clinical Science at Monash Health, Monash University, Melbourne Australia.
Journal of Surgical Case Reports
|August 19, 2021
Summary
Vaginal evisceration, a rare surgical emergency, occurs when abdominal organs protrude through vaginal wall defects. Prompt recognition and management are crucial for patient outcomes.
Area of Science:
- Gynecology
- Urology
- Surgical Oncology
Background:
- Vaginal evisceration is a rare but serious complication following gynecologic or urologic surgery.
- The incidence ranges from 0.032% to 1.2% after procedures like hysterectomy, trachelectomy, or vaginectomy.
Observation:
- A case report details a 78-year-old female experiencing vaginal evisceration two years post-radical cystectomy and hysterectomy for bladder cancer.
- This presentation highlights a delayed complication in a patient with a history of extensive pelvic surgery.
Findings:
- Vaginal evisceration represents abdominal contents herniating through a defect in the vaginal wall.
- The condition necessitates immediate diagnosis and surgical intervention, often involving bowel reduction and packing for initial stabilization.
Implications:
- This case underscores the importance of considering rare complications even years after initial treatment.
- Effective management strategies and surgical options for definitive repair are critical for addressing this surgical emergency.
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