Premium
Evisceration occurred 1 year after vaginal vault repair for relapsed pelvic organ prolapse
Author(s) -
Muraoka Mitsue,
Nagano Hiroaki,
Takagi Koichiro
Publication year - 2012
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.1447-0756.2011.01825.x
Subject(s) - medicine , evisceration (ophthalmology) , vaginal vault prolapse , surgery , vaginal vault , exploratory laparotomy , vagina , hysterectomy , laparotomy , uterine prolapse , native tissue , pathology , alternative medicine , tissue engineering , biomedical engineering
This report describes the case of an 81‐year‐old woman with sudden evisceration of the small intestine through the vagina. It occurred one year after repair of a vaginal vault prolapse, which was initially treated by vaginal hysterectomy and colporrhaphy three years prior to the repair. On examination, we found a 70–80‐cm loop of bowel prolapsing through a 3‐cm oval defect in the vaginal vault. The patient underwent emergency exploratory laparotomy under general anesthesia. After careful reduction of the eviscerated small intestine, the hernia hiatus was closed and the widened cul‐de‐sac was obliterated by performing a Moschcowitz culdoplasty. Rapid intervention by abdominovaginal surgery may enable smooth repositioning of the eviscerated intestine, thus preventing subsequent morbidity.