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Evisceration 5 years post abdominal hysterectomy
Author(s) -
Rajesh Sreebha,
Kalu Emmanuel,
Bong Jin,
Wales Nicholas
Publication year - 2008
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2008.00778.x
Subject(s) - medicine , evisceration (ophthalmology) , exploratory laparotomy , vaginal vault , vaginal vault prolapse , surgery , hysterectomy , vagina , abdominal hysterectomy , laparotomy , complication , alternative medicine , pathology
This report describes a case of a 55‐year old woman presenting with evisceration of small bowel through the vagina, five years after a Total abdominal hysterectomy and bilateral salpingoopherectomy for irregular bleeding and a benign ovarian cyst. Examination under anesthesia revealed a 70 cm loop of bowel prolapsing through a 5 cm defect in the vaginal vault. She underwent an exploratory laparotomy and repair of vaginal vault defect. Small bowel prolapse through vaginal vault defect is a rare complication after abdominal hysterectomy. Appropriate management includes prompt recognition, thorough assessment of the herniated viscus and surgical repair of the vaginal defect. Combining abdominal and vaginal approaches as in our case may facilitate repair and avoid further morbidity.