Document Detail

Vaginal herniation: case report and review of the literature.
MedLine Citation:
PMID:  16021065     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: The purpose of this study was to discuss the treatment of a case of spontaneous intestinal herniation per vagina in a patient who had undergone previous transabdominal hysterectomy and to review the related literature. STUDY DESIGN: A computer-based search of the English literature from January 1900 to October 2004 with the use of the terms vaginal herniation, vaginal evisceration, and vaginal trauma/injury was performed. Causes, presentation, and treatment were discussed and compared with a recent case that was treated locally in our hospital. RESULTS: Vaginal evisceration was described in the literature as early as 1864; since then <100 cases have been reported in the literature. It is more common in menopausal women with previous hysterectomy pelvic or vaginal surgery. Vaginal trauma, as in rough coitus, instrumentation, obstetric injury, is a recognized cause in premenopausal women. CONCLUSION: Vaginal evisceration is a rare, distressing emergency that requires aggressive resuscitation and urgent surgical intervention.
Ayman O Nasr; Shona Tormey; Muataz A Aziz; Brian Lane
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  193     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  2005 Jul 
Date Detail:
Created Date:  2005-07-15     Completed Date:  2005-08-11     Revised Date:  2006-06-23    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  95-7     Citation Subset:  AIM; IM    
Department of Surgery, James Connolly Memorial Hospital, Blanchardstown, Dublin, Republic of Ireland.
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MeSH Terms
Hernia / pathology,  surgery*
Vagina / pathology
Vaginal Diseases / pathology,  surgery*
Comment In:
Am J Obstet Gynecol. 2006 Jun;194(6):1744-5; author reply 1745   [PMID:  16731099 ]

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