Work

Spontaneous Transvaginal Evisceration of the Small Bowel Two Years Post Laparoscopic Total Hysterectomy: A Case Report

Year: 2025

Type: article

Abstract: Vaginal evisceration after hysterectomy, although rare, is a serious postoperative complication. It requires rapid diagnosis and management. The small bowel is the most common organ of evisceration, but prolapse of the omentum, appendix, and fallopian tubes has also been described. We report a case of a 51-year-old postmenopausal patient who presented to the gynecologic emergency department with vaginal evisceration after dancing at a family party. She felt an acute abdomino-pelvic pain with vaginal lump sensation. Her medical history included a laparoscopic hysterectomy for benign pathology two years before. The gynecological examination revealed vaginal evisceration of intestinal loops by a rupture of the cuff of the vagina. A laparotomic dehiscence repair was performed, with preservation of the entire intestine, which was undamaged, and the patient was discharged three days after.

Source: Cureus

DOI: 10.7759/cureus.86305

Authors: Hanane Houmaid, Myriem Sali, Karam Harou, Hamid Asmouki, Abderraouf Soummani

Institutions: Cadi Ayyad University, Centre Hospitalier Universitaire Mohammed VI

Language: English

Topic: Uterine Myomas and Treatments

Subfield: Obstetrics and Gynecology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4411405998