Spontaneous transvaginal small bowel evisceration secondary to vaginal cuff dehiscence after abdominal hysterectomy:
Najib Mohamed Salad1, Abdikarim Ali Omar2, Yahye Garad Mohamed3
1General Surgery Department, Mogadishu Somali Turkey, Recep Tayyip Erdogan Training and Research Hospital, 30 Street, Albarako, Hodan District, Mogadishu, Somalia.
Introduction:
and importance: Small intestinal evisceration through the vaginal canal is a rare surgical emergency that necessitates immediate surgery to avoid bowel necrosis, infection, and death. It was first documented in 1864.
Case Presentation:
A 55-year-old postmenopausal woman was reported to the emergency department with an 8-h history of moderate lower abdomen pain and diarrhea. After investigation, the patient was diagnosed with transvaginal small bowel evisceration, and vaginal cuff dehiscence was repaired.
Clinical Discussion:
Given the high death rates associated with this illness, we publish this case to promote awareness of therapeutic techniques. Second, it highlights the significance of interdisciplinary surgical collaboration in achieving the greatest possible patient outcome.
Conclusion:
An operation should be performed to avoid significant complications such as peritonitis, sepsis, and septic shock, considering the disease's rarity and high fatality rate if not treated early.
