Characteristics of Patients With Vaginal Rupture and Evisceration

Croak, Andrew J.; Gebhart, John B.; Klingele, Christopher J.; Schroeder, Georgene; Lee, Raymond A.; Podratz, Karl C.

doi:10.1097/01.aog.0000115507.26155.45

Cited by 153 publications

(136 citation statements)

References 9 publications

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“…While comparing the abdominal and vaginal hysterectomy, in case of abdominal hysterectomy the cuff disruption is common whereas after vaginal hysterectomy enterocele occurred through the posterior vaginal wall and these lesions can be seen after extensive oncology surgery [9]. Similar to our case is reported by Kahramanoglu et al, after 45 days of laparoscopic type 2 radical hysterectomy and pelvic lymph node dissection for grade II squamous cell cervical carcinoma the patient was presented with VCD and small bowel evisceration through the vault following vaginal sexual intercourse [3].…”

Section: Discussionmentioning

confidence: 99%

Coitus Induced Vaginal Evisceration Through Vaginal Cuff Dehiscence After Radical Hysterectomy - A Rare Case Report

Fatema¹,

Al-Yaqoubi²,

Rahman³

et al. 2017

Med Case Rep

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Vaginal evisceration of small bowel through vaginal cuff dehiscence after total abdominal hysterectomy is a rare complication in case of pre-menopausal women, which is sporadically mentioned in the literature. We have reported a case of small bowel evisceration through vaginal cuff dehiscence within two hours of first vaginal intercourse following 48 days of Radical hysterectomy which was indicative for grade III endometrial adenocarcinoma and then followed by 10 days' adjuvant chemotherapy. We escort the patient immediately to the tertiary center for multidisciplinary management. An emergency exploratory laparotomy was performed, and after reposition of the small bowel, the vaginal vault was repaired with interrupted sutures using Vicryl-1. The patient was discharged on 9th post-operative day in good condition. As because the post-coital vaginal evisceration through vaginal cuff dehiscence is a modifiable risk factor, we are highlighting on the counseling to avoid early coitus after hysterectomy especially in case of patients with endometrial carcinoma and on adjuvant chemotherapy. In such case, early coitus may arise potential life threatening surgical emergency. So, we suggest arranging appropriate counseling for the patient and her spouse, after gynaecological oncology surgery to resume their coital activity minimum after 8-12 weeks' post-surgery.

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Section: Discussionmentioning

confidence: 99%

Coitus Induced Vaginal Evisceration Through Vaginal Cuff Dehiscence After Radical Hysterectomy - A Rare Case Report

Fatema¹,

Al-Yaqoubi²,

Rahman³

et al. 2017

Med Case Rep

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“…Over the ensuing years it is a condition which has been scantily reported in gynaecological journals most frequently in association with post menopausal women who have had a history of gynaecological surgery or enterocoele [2]. It also tends to be associated with increased intra-abdominal pressure and conditions, which lead to weakened pelvic tissues [3]. The most common surgical precursor is the vaginal hysterectomy, which has been reported to account for over 60% of cases.…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Small Bowel Evisceration Following Vaginal Hysterectomy is a General Surgical Emergency–A Case Report and Review of the Literature

Sigaroudinia¹,

Bowden²,

Maitra³

et al. 2011

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Small bowel evisceration through the vagina is a rare condition, which tends to affect post-menopausal women who have undergone vaginal hysterectomy. It is a surgical emergency with a favourable outcome if diagnosed and treated in a timely fashion. Delay in diagnosis can precipitate infarction of small bowel loops with associated morbidity and mortality. Treatment involves laparotomy, reduction of the incarcerated loops, plus/minus small bowel resection) and repair of the vaginal rupture. The purpose of this paper is to report a case of small bowel evisceration through the vagina, to review the literature pertaining to this topic and to raise awareness of this condition in the general surgical community.

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“…Vajinal eviserasyon menopoz öncesi kadınlarda, sık-lıkla cinsel ilişki sonrası vajinal travma, yabancı cisim ve obstetrik travmaya bağlı; menopoz sonrasın-da ise daha çok kronik pelvik prolapsus ve vajinal cerrahilere bağlı olarak gelişir 6 . Bilgilerimiz dahilinde daha önce self-mutilasyona bağlı oluşan vajinal eviserasyon olgusu bildirilmemiştir.…”

Section: Tartıșmaunclassified

Vaginal evisceration of a patient with dementia as a result of self-mutilation: A case report

Gırgın¹,

Kanat²,

Ayten³

et al. 2013

Kafkas J Med Sci

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Characteristics of Patients With Vaginal Rupture and Evisceration

Abstract: II-3

Cited by 153 publications

References 9 publications

Coitus Induced Vaginal Evisceration Through Vaginal Cuff Dehiscence After Radical Hysterectomy - A Rare Case Report

Coitus Induced Vaginal Evisceration Through Vaginal Cuff Dehiscence After Radical Hysterectomy - A Rare Case Report

Small Bowel Evisceration Following Vaginal Hysterectomy is a General Surgical Emergency–A Case Report and Review of the Literature

Vaginal evisceration of a patient with dementia as a result of self-mutilation: A case report

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