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Updated: Aug 30, 2025

Author Spotlight: Advancing Pelvic Prolapse Treatment with a Non-Mesh Approach using Laparoscopic Pectopexy

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Omental Prolapse Through Vaginal Cuff Dehiscence.

Jon Solberg¹, Karan Saravana²

¹University of North Dakota, Department of Emergency Medicine, Bismarck, North Dakota.

Clinical Practice and Cases in Emergency Medicine

|September 1, 2022

Summary

This summary is machine-generated.

Vaginal cuff dehiscence after hysterectomy can cause abdominal contents to protrude, mimicking prolapse. Prompt diagnosis and pelvic examination are crucial to prevent severe complications from this rare event.

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Area of Science:

Gynecology
Surgical Complications

Background:

Vaginal hysterectomy is a common gynecological procedure.
Vaginal cuff dehiscence is a rare but serious complication following hysterectomy.
Omental protrusion can be misdiagnosed as vaginal mucosa prolapse.

Purpose of the Study:

To present a case of vaginal cuff dehiscence with omental protrusion.
To highlight the importance of a thorough pelvic examination in diagnosing such cases.
To emphasize the potential for misdiagnosis and severe complications.

Main Methods:

Case report of a 31-year-old female presenting with abdominal pain and vaginal protrusion.
Unsuccessful attempt at manual reduction of the vaginal mass.
Surgical exploration to determine the nature of the protruding tissue.

Main Results:

A 15-centimeter bloody vaginal protrusion was observed.
The protruding mass was identified as omental tissue.
The patient had a history of vaginal hysterectomy.

Conclusions:

Vaginal cuff dehiscence can lead to protrusion of abdominal contents, such as omentum.
Omental protrusion may be mistaken for vaginal mucosa prolapse.
A comprehensive pelvic examination is essential for accurate diagnosis and management of vaginal cuff dehiscence to avoid severe complications.