Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
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.

PubMed Disclaimer

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

Similar articles

See all similar articles

Cited by

References

    1. Croak AJ, Gebhart JB, Klingele CJ, Schroeder G, Lee RA, Podratz KC. Characteristics of patients with vaginal rupture and evisceration. Obstet Gynecol 2004;103:572–6. - PubMed
    1. Cronin B, Sung VW, Matteson KA. Vaginal cuff dehiscence: risk factors and management. Obstet Gynecol 2012;206:284–8. - PMC - PubMed
    1. Nezhat C, Kennedy Burns M, Wood M, Nezhat C, Nezhat A, Nezhat F. Vaginal cuff dehiscence and evisceration: a review. Obstet Gynecol 2018;132:972–85. - PubMed
    1. Hur HC, Lightfoot M, McMillin MG, Kho KA. Vaginal cuff dehiscence and evisceration: a review of the literature. Curr Opin Obstet Gynecol 2016;28:297–303. - PubMed
    1. Matthews CA, Kenton K. Treatment of vaginal cuff evisceration. Obstet Gynecol 2014;124:705–8. - PubMed

Publication types