Vaginal Evisceration Resulting from a Water-Slide Injury

Abstract

A case of vaginal evisceration resulting from sliding on a water chute is described. The treatment and mechanism of this rare injury are discussed.

Nonobstetric lower genital tract injuries in rural India

“…NOGTIs vary from simple contusions to extensive lacerations involving adjacent organs. In the worst cases, profuse external and intra-abdominal hemorrhage, pelvic fractures, and perforations into the peritoneal cavity, intestines, and bladder can be fatal [2,4,6,8,[15][16][17]. The cornerstone of management of these injuries is an accurate history of the trauma, and vaginal and rectal examinations [2,4,10,18].…”

“…The etiological factors of nonobstetric genital tract injury (NOGTI) are associated with age, marital status, residential location, occupation, socioeconomic status, leisure and sporting activities, and sexual behavior [1][2][3][4][5][6][7][8][9]. Because of their nature, extent, and the underlying mechanism of trauma, some of these injuries are unique [2][3][4][5][6][7][8] and can pose diagnostic and management challenges to clinicians, even in well-equipped centers [1,4,[10][11][12].…”

“…The etiological factors of nonobstetric genital tract injury (NOGTI) are associated with age, marital status, residential location, occupation, socioeconomic status, leisure and sporting activities, and sexual behavior [1][2][3][4][5][6][7][8][9]. Because of their nature, extent, and the underlying mechanism of trauma, some of these injuries are unique [2][3][4][5][6][7][8] and can pose diagnostic and management challenges to clinicians, even in well-equipped centers [1,4,[10][11][12]. Several case reports [4,[7][8][9]13] and occasional case series [1,5,10,11] from high-income countries have been published, but little information is available on the implications of lower genital tract injuries among women in low-income countries, especially among those living in rural areas [2,3].…”

“…Because of their nature, extent, and the underlying mechanism of trauma, some of these injuries are unique [2][3][4][5][6][7][8] and can pose diagnostic and management challenges to clinicians, even in well-equipped centers [1,4,[10][11][12]. Several case reports [4,[7][8][9]13] and occasional case series [1,5,10,11] from high-income countries have been published, but little information is available on the implications of lower genital tract injuries among women in low-income countries, especially among those living in rural areas [2,3]. While some reports have dealt exclusively with coital trauma [3,4,10], including sexual assault and rape [3][4][5]10], none have explored the difficulties encountered in managing a wider spectrum of injuries.…”

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

“…Whilst vaginal evisceration is most common in the post-menopausal woman, it has been reported in the premenopausal lady who has had an abdominal hysterectomy, as a complication following coitus and posterior vaginal fornix rupture [5]. Other presentations, which are even more unusual, include following intra-peritoneal chemotherapy for ovarian cancer [6], evisceration secondary to water sports [7] or the use of vaginal brachytherapy [8].…”