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Gangrenous Small Bowel Due to Reposition of Procidentia in an Elderly Woman

Gynecologists are familiar with procidentia, a severe form of pelvic organ prolapse (POP) that includes herniation of the anterior, posterior, and apical compartments of the vagina, through the introitus. Usually, women with POP present with concerns of something coming out of the vagina, heaviness,...

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Autores principales: Tayade, Harshal, Tayade, Surekha, Yeola, Meenakshi, Lamture, Yashwant
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196324/
https://www.ncbi.nlm.nih.gov/pubmed/35712331
http://dx.doi.org/10.7759/cureus.25013
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author Tayade, Harshal
Tayade, Surekha
Yeola, Meenakshi
Lamture, Yashwant
author_facet Tayade, Harshal
Tayade, Surekha
Yeola, Meenakshi
Lamture, Yashwant
author_sort Tayade, Harshal
collection PubMed
description Gynecologists are familiar with procidentia, a severe form of pelvic organ prolapse (POP) that includes herniation of the anterior, posterior, and apical compartments of the vagina, through the introitus. Usually, women with POP present with concerns of something coming out of the vagina, heaviness, discharge through the vagina, urinary complaints, and, rarely bowel, complaints. Intestinal obstruction secondary to procidentia is a rare complication and is seldom reported in the literature. We report one such case where an elderly woman presented with the primary concerns of constipation, retention of urine, and multiple episodes of vomiting. Clinical history revealed that herniated tissue protruding outside the vaginal introitus was reposited inside the vagina two days ago. Clinical examination and investigations were suggestive of intestinal obstruction, secondary to the reposition of procidentia. Exploratory laparotomy revealed gangrene of the terminal ileum. Right hemicolectomy with ileo-colic anastomosis was done, which saved the woman’s life. Reposition of the prolapsed uterus was thought to be the probable reason, leading to obstructed and gangrenous small bowel. As this case illustrates, the chronology of symptoms and signs and progression of disease should be appropriately interpreted to diagnose and manage such potentially life-threatening conditions.
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spelling pubmed-91963242022-06-15 Gangrenous Small Bowel Due to Reposition of Procidentia in an Elderly Woman Tayade, Harshal Tayade, Surekha Yeola, Meenakshi Lamture, Yashwant Cureus Obstetrics/Gynecology Gynecologists are familiar with procidentia, a severe form of pelvic organ prolapse (POP) that includes herniation of the anterior, posterior, and apical compartments of the vagina, through the introitus. Usually, women with POP present with concerns of something coming out of the vagina, heaviness, discharge through the vagina, urinary complaints, and, rarely bowel, complaints. Intestinal obstruction secondary to procidentia is a rare complication and is seldom reported in the literature. We report one such case where an elderly woman presented with the primary concerns of constipation, retention of urine, and multiple episodes of vomiting. Clinical history revealed that herniated tissue protruding outside the vaginal introitus was reposited inside the vagina two days ago. Clinical examination and investigations were suggestive of intestinal obstruction, secondary to the reposition of procidentia. Exploratory laparotomy revealed gangrene of the terminal ileum. Right hemicolectomy with ileo-colic anastomosis was done, which saved the woman’s life. Reposition of the prolapsed uterus was thought to be the probable reason, leading to obstructed and gangrenous small bowel. As this case illustrates, the chronology of symptoms and signs and progression of disease should be appropriately interpreted to diagnose and manage such potentially life-threatening conditions. Cureus 2022-05-15 /pmc/articles/PMC9196324/ /pubmed/35712331 http://dx.doi.org/10.7759/cureus.25013 Text en Copyright © 2022, Tayade et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Obstetrics/Gynecology
Tayade, Harshal
Tayade, Surekha
Yeola, Meenakshi
Lamture, Yashwant
Gangrenous Small Bowel Due to Reposition of Procidentia in an Elderly Woman
title Gangrenous Small Bowel Due to Reposition of Procidentia in an Elderly Woman
title_full Gangrenous Small Bowel Due to Reposition of Procidentia in an Elderly Woman
title_fullStr Gangrenous Small Bowel Due to Reposition of Procidentia in an Elderly Woman
title_full_unstemmed Gangrenous Small Bowel Due to Reposition of Procidentia in an Elderly Woman
title_short Gangrenous Small Bowel Due to Reposition of Procidentia in an Elderly Woman
title_sort gangrenous small bowel due to reposition of procidentia in an elderly woman
topic Obstetrics/Gynecology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9196324/
https://www.ncbi.nlm.nih.gov/pubmed/35712331
http://dx.doi.org/10.7759/cureus.25013
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