B Feiner1, A Lissak, R Kedar, O Lefel, O Lavie. 1. Department of Obstetrics and Gynecology, The Lady Davis Carmel Medical Center, Rappaport Faculty of Medicine, Technion, Haifa, Israel. feiner@tx.technion.ac.il
Abstract
BACKGROUND: Vaginal evisceration can take place many years after vaginal surgery. CASE: An 87-year-old woman presented with evisceration of small bowel through the vagina, 15 years after she underwent a vaginal hysterectomy. On physical examination, her vital signs were normal. Forty centimeters of small bowel was visible emerging from the vagina, appearing viable and nonedematous. Because of the high surgical risk, the bowel was replaced and the defect in the vaginal wall was repaired transvaginally. CONCLUSION: Vaginal evisceration can be treated by a transvaginal surgical approach. Factors such as the medical condition of the patient and the viability of the herniated viscus should dictate the optimal approach in each case.
BACKGROUND: Vaginal evisceration can take place many years after vaginal surgery. CASE: An 87-year-old woman presented with evisceration of small bowel through the vagina, 15 years after she underwent a vaginal hysterectomy. On physical examination, her vital signs were normal. Forty centimeters of small bowel was visible emerging from the vagina, appearing viable and nonedematous. Because of the high surgical risk, the bowel was replaced and the defect in the vaginal wall was repaired transvaginally. CONCLUSION: Vaginal evisceration can be treated by a transvaginal surgical approach. Factors such as the medical condition of the patient and the viability of the herniated viscus should dictate the optimal approach in each case.
Authors: Salvatore Andrea Mastrolia; Edoardo Di Naro; Luca Maria Schonauer; Maria Teresa Loverro; Beatrice Indellicati; Mario Barnaba; Giuseppe Loverro Journal: Case Rep Obstet Gynecol Date: 2014-11-24
Authors: Giulia Missori; Nicolò Luigi Arrigo Marchesini; Donatella Mosca; Andrea Aurelio Ricciardolo; Francesco Serra; Roberta Gelmini Journal: Front Surg Date: 2022-04-26