Document Detail

Evisceration 5 years post abdominal hysterectomy.
MedLine Citation:
PMID:  18588620     Owner:  NLM     Status:  MEDLINE    
This report describes a case of a 55-year old woman presenting with evisceration of small bowel through the vagina, five years after a Total abdominal hysterectomy and bilateral salpingoopherectomy for irregular bleeding and a benign ovarian cyst. Examination under anesthesia revealed a 70 cm loop of bowel prolapsing through a 5 cm defect in the vaginal vault. She underwent an exploratory laparotomy and repair of vaginal vault defect. Small bowel prolapse through vaginal vault defect is a rare complication after abdominal hysterectomy. Appropriate management includes prompt recognition, thorough assessment of the herniated viscus and surgical repair of the vaginal defect. Combining abdominal and vaginal approaches as in our case may facilitate repair and avoid further morbidity.
Sreebha Rajesh; Emmanuel Kalu; Jin Bong; Nicholas Wales
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The journal of obstetrics and gynaecology research     Volume:  34     ISSN:  1341-8076     ISO Abbreviation:  J. Obstet. Gynaecol. Res.     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-06-30     Completed Date:  2008-09-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9612761     Medline TA:  J Obstet Gynaecol Res     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  425-7     Citation Subset:  IM    
Obstetrics and Gynecology Department, Chelsea and Westminster Hospital, London, UK.
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MeSH Terms
Hysterectomy / adverse effects*
Intestinal Diseases / diagnosis*,  etiology
Intestine, Small
Middle Aged
Vaginal Diseases / diagnosis*,  etiology,  surgery

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