Transvaginal Small Bowel Evisceration in Known Case of Uterine Prolapse Due to Trauma
Published: January 1, 2015 | DOI: https://doi.org/10.7860/JCDR/2015/.5411
Umesh Gheewala, Abhishek Agrawal, Radha Shukla, Ravi Bhatt, Shirish Srivastava
1. Assistant Professor, Department of Surgery, Shree Krishna Hospital, Karamsad, India.
2. Resident, Department of Surgery, Pramukhswami Medical College, Shree Krishna Hospital, Karamsad, India.
3. Student, Pramukhswami Medical College, Karamsad, India.
4. Student, Pramukhswami Medical College, Karamsad, India.
5. Professor and Head, Department of Surgery, Shree Krishna Hospital, Karamsad, India.
Correspondence
Dr. Abhishek Agrawal,
14-PG Doctor's Hostel, Shree Krishna Hospital, Pramukswami Medical College, Gokal Nagar, Karamsad, Gujarat-388325, India.
E-mail : Abhishekagrawal2007@gmail.com
Spontaneous transvaginal bowel evisceration is a rare surgical emergency with only a few cases reported and particularly postmenopausal, posthysterectomy, multiparous elderly women are considered to be at higher risk for development of bowel evisceration. It is difficult to manage such a patient for any surgeon and poses significant challenges especially intraoperatively. Here, we report a case of vaginal vault rupture with small bowel evisceration through the vagina in a known case of uterine prolapse and highlight the risk factors, clinical presentation, and treatment options for this rare surgical emergency.
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