Small Bowel Evisceration after Spontaneous Vaginal Cuff Rupture

Small bowel evisceration after vaginal cuff rupture is a seldom seen surgical emergency. We report on a case of rupture seen in the emergency department in a patient eight weeks post hysterectomy. She presented to the emergency department by ambulance in the early morning hours with the complaint of acute severe abdominal pain along with nausea and vomiting. Diagnosis of this condition was confirmed after a thorough physical exam. Following manual reduction in the emergency department and immediate transfer for surgical repair helped the patient avoid the morbidity and mortality associated with this complication. This allowed her to be discharged home later the same day.