SPONTANEOUS TRANSVAGINAL INTESTINAL EVISCERATION IN AN ELDERLY WOMAN
A A Ishola1, H D Ogundipe1, R O Balogun2
1Department of Surgery, University College Hospital, Ibadan.
Annals of Ibadan Postgraduate Medicine
|February 1, 2024
Summary
Transvaginal intestinal evisceration, a rare surgical emergency, requires prompt diagnosis and management. Early intervention in this condition can lead to successful outcomes, even in elderly patients.
Area of Science:
- Gastroenterology
- Surgical Emergencies
- Gynecologic Surgery
Background:
- Transvaginal intestinal evisceration is a rare but serious surgical emergency.
- It is associated with significant morbidity and mortality.
- Predisposing risk factors are multifactorial.
Purpose of the Study:
- To report a case of spontaneous transvaginal small bowel evisceration in an elderly female.
- To highlight the importance of prompt diagnosis and surgical management.
Main Methods:
- Case report of an 85-year-old female presenting with spontaneous small bowel evisceration.
- Emergency laparotomy for bowel reduction.
- Total abdominal hysterectomy with vaginal vault closure.
Main Results:
- Successful reduction of edematous small bowel loops.
- Uneventful postoperative recovery.
- Demonstrated viability of peristalsis in eviscerated bowel.
Conclusions:
- Spontaneous bowel evisceration can be successfully managed with early presentation and prompt intervention.
- Individualized, multidisciplinary management is crucial.
- Prompt diagnosis and surgical intervention are vital to prevent complications.
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