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Case Reports
. 2021 Aug 14;2021(8):rjab343.
doi: 10.1093/jscr/rjab343. eCollection 2021 Aug.

Small bowel evisceration from vagina

Wan Amir Wan Hassan  1 , Vignesh Narasimhan  1 , Asiri Arachchi  1 , Thomas Manolitsas  1 , William Teoh  1
Affiliations
Case Reports

Small bowel evisceration from vagina

Wan Amir Wan Hassan et al. J Surg Case Rep. .

Abstract

Vaginal evisceration is a rare condition where abdominal contents herniate through a vaginal wall defect. The estimated incidence is 0.032-1.2% after hysterectomy, trachelectomy or upper vaginectomy. We present a 78-year-old lady who developed vaginal evisceration 2 years after radical cystectomy and hysterectomy for bladder cancer. It is rare surgical emergency that requires prompt recognition and damage control with bowel reduction and packing. We discuss the initial management and surgical options for definitive repair.

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Figures

Figure 1
Figure 1
Vagina introitus with packing material reducing the small bowel evisceration.
Figure 2
Figure 2
(a and b) Computed tomography images of the pelvis before surgery. Red arrows showing packing material in the vaginal vault. Yellow arrows showing loops of thick-walled distal small bowel.
Figure 3
Figure 3
(a) Vagina introitus after removal of packing material. A prolapsed vaginal vault with a defect demonstrated. (b) Vaginal vault defect repaired with continuous 0 Vicryl.
See this image and copyright information in PMC

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