Cargando…

Delayed presentation of vaginal cuff dehiscence and evisceration loop of bowel nine month after laparoscopic hysterectomy: A case report

INTRODUCTION AND IMPORTANCE: Vaginal cuff dehiscence (VCD) is an extremely rare condition and requires emergency surgery due to the possibility of developing acute small bowel ischemia, peritonitis, and sepsis. Etiology is unclear but multifactorial. CASE PRESENTATION: A 57-year-old nullipara postme...

Descripción completa

Detalles Bibliográficos
Autores principales: Ali, Khadija Yusuf, Mohamud, Samira Ahmed
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9193836/
http://dx.doi.org/10.1016/j.ijscr.2022.107291
_version_ 1784726564560175104
author Ali, Khadija Yusuf
Mohamud, Samira Ahmed
author_facet Ali, Khadija Yusuf
Mohamud, Samira Ahmed
author_sort Ali, Khadija Yusuf
collection PubMed
description INTRODUCTION AND IMPORTANCE: Vaginal cuff dehiscence (VCD) is an extremely rare condition and requires emergency surgery due to the possibility of developing acute small bowel ischemia, peritonitis, and sepsis. Etiology is unclear but multifactorial. CASE PRESENTATION: A 57-year-old nullipara postmenopausal female patient with small bowel evisceration due to vaginal cuff dehiscence while having sexual intercourse six hours earlier on arrival to the hospital. She had a history of laparoscopic hysterectomy 9 months before. For that reason, we performed an emergency laparotomy which we reduced the intestine and we closed vaginal cuff. CLINICAL DISCUSSION: Dehiscence of the vaginal cuff and evisceration involve rupture of the proximal vaginal cuff, resulting in the expulsion of intraperitoneal contents. This is unusual case can be identified clinically, and the management is surgical which can be performed transvaginal and transabdominal approach to repair the vaginal cuff. However, before repairing the vaginal defect, the bowel should be checked if there is any doubt about the need for bowel resection and anastomosis. CONCLUSION: Transvaginal evisceration is a very rare disease that can be life-threatening. It needs to be identified quickly and treated surgically to prevent small bowel ischemia.
format Online
Article
Text
id pubmed-9193836
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-91938362022-06-15 Delayed presentation of vaginal cuff dehiscence and evisceration loop of bowel nine month after laparoscopic hysterectomy: A case report Ali, Khadija Yusuf Mohamud, Samira Ahmed Int J Surg Case Rep Case Report INTRODUCTION AND IMPORTANCE: Vaginal cuff dehiscence (VCD) is an extremely rare condition and requires emergency surgery due to the possibility of developing acute small bowel ischemia, peritonitis, and sepsis. Etiology is unclear but multifactorial. CASE PRESENTATION: A 57-year-old nullipara postmenopausal female patient with small bowel evisceration due to vaginal cuff dehiscence while having sexual intercourse six hours earlier on arrival to the hospital. She had a history of laparoscopic hysterectomy 9 months before. For that reason, we performed an emergency laparotomy which we reduced the intestine and we closed vaginal cuff. CLINICAL DISCUSSION: Dehiscence of the vaginal cuff and evisceration involve rupture of the proximal vaginal cuff, resulting in the expulsion of intraperitoneal contents. This is unusual case can be identified clinically, and the management is surgical which can be performed transvaginal and transabdominal approach to repair the vaginal cuff. However, before repairing the vaginal defect, the bowel should be checked if there is any doubt about the need for bowel resection and anastomosis. CONCLUSION: Transvaginal evisceration is a very rare disease that can be life-threatening. It needs to be identified quickly and treated surgically to prevent small bowel ischemia. Elsevier 2022-06-07 /pmc/articles/PMC9193836/ http://dx.doi.org/10.1016/j.ijscr.2022.107291 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Ali, Khadija Yusuf
Mohamud, Samira Ahmed
Delayed presentation of vaginal cuff dehiscence and evisceration loop of bowel nine month after laparoscopic hysterectomy: A case report
title Delayed presentation of vaginal cuff dehiscence and evisceration loop of bowel nine month after laparoscopic hysterectomy: A case report
title_full Delayed presentation of vaginal cuff dehiscence and evisceration loop of bowel nine month after laparoscopic hysterectomy: A case report
title_fullStr Delayed presentation of vaginal cuff dehiscence and evisceration loop of bowel nine month after laparoscopic hysterectomy: A case report
title_full_unstemmed Delayed presentation of vaginal cuff dehiscence and evisceration loop of bowel nine month after laparoscopic hysterectomy: A case report
title_short Delayed presentation of vaginal cuff dehiscence and evisceration loop of bowel nine month after laparoscopic hysterectomy: A case report
title_sort delayed presentation of vaginal cuff dehiscence and evisceration loop of bowel nine month after laparoscopic hysterectomy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9193836/
http://dx.doi.org/10.1016/j.ijscr.2022.107291
work_keys_str_mv AT alikhadijayusuf delayedpresentationofvaginalcuffdehiscenceandeviscerationloopofbowelninemonthafterlaparoscopichysterectomyacasereport
AT mohamudsamiraahmed delayedpresentationofvaginalcuffdehiscenceandeviscerationloopofbowelninemonthafterlaparoscopichysterectomyacasereport