Post-coital vaginal cuff dehiscence with small bowel evisceration after laparoscopic type II radical hysterectomy: A case report

Kahramanoğlu, İlker; Sal, Veysel; Beşe, Tugan

doi:10.1016/j.ijscr.2016.07.024

Cited by 6 publications

(10 citation statements)

References 16 publications

(17 reference statements)

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“…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: Discussionsupporting

confidence: 88%

“…Non-surgical factors that causes VCD includes restarting coitus before proper wound healing, operative site infection, smoking, prolonged steroid use, malnutrition, post-operative chemotherapy or radiotherapy, constipation, vaginal trauma, Valsalva maneuver and many other risk factors are described in literature [3,5].…”

Section: Discussionmentioning

confidence: 99%

“…In previously reported cases they mentioned that after oncological hysterectomy surgery, sexual abstinence is advisable for 8-12 weeks postoperative [3,5].…”

Section: Discussionmentioning

confidence: 99%

“…There is an increase of mortality rate up to 5.6% if VCD is associated with small bowel evisceration. The likelihood of any intraperitoneal content evisceration is 67% after hysterectomy [2,3].…”

Section: Introductionmentioning

confidence: 99%

“…Commonly it occurs within first 3 months of surgery if coitus resumed, before proper wound healing. Till date, no evidence-based protocol is mentioned in literature in relation to the time when exactly to resume coitus after hysterectomy [3].…”

Section: Introductionmentioning

confidence: 99%

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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: Discussionsupporting

confidence: 88%

Section: Discussionmentioning

confidence: 99%

“…In previously reported cases they mentioned that after oncological hysterectomy surgery, sexual abstinence is advisable for 8-12 weeks postoperative [3,5].…”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations