Vaginal cuff dehiscence is a rare but serious complication of hysterectomy and caries even more risk of morbidity and mortality when evisceration occurs. Vaginal cuff dehiscence can occur at any time after hysterectomy; thus, it is important to identify risk factors in patients and counsel them on signs and symptoms of dehiscence. Once diagnosed, minimally invasive approaches such as vaginal and laparoscopic techniques should be the preferred method of repair. We present a case of an 85-year-old woman who presented with abdominal pain and sensation of a bulge in her vagina 40-years after total abdominal hysterectomy. She was diagnosed with vaginal cuff dehiscence and evisceration and underwent complete vaginal repair and colpocleisis.
Endometrial cancer is the most common gynecologic cancer in high income countries [1]. It is divided into Type I and Type II from a histopathological as well as a molecular perspective. Type II endometrial cancer comprises some grade-3 endometrial cancers, undifferentiated endometrial cancer, uterine serous cancer, clear cell carcinoma, and carcinosarcoma. Although these tumors are less common than low grade endometrial cancer, they are associated with a higher stage at diagnosis and with most recurrences and deaths [2].
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