title: Transvaginal evisceration after radical abdominal hysterectomy.
abstract: BACKGROUND
  Intestinal evisceration through the vagina is rare and transvaginal evisceration after transabdominal surgery is far more rare.
  
  
  METHODS
  We present an unusual case of a postmenopausal woman who presented with transvaginal evisceration of the small bowel after radical abdominal hysterectomy and pelvic lymphadenectomy.
  
  
  CONCLUSIONS
  This was a rare case of terminal ileal evisceration through a ruptured vaginal cuff after radical hysterectomy and bilateral pelvic lymphadenectomy. We performed a delayed closure of the vaginal defect through the vagina after manual reduction of the eviscerated small bowel, and the outcome was satisfactory.
authors.affiliation: Department of Obstetrics and Gynecology, College of Medicine Chonnam National University, Kwangju, Korea.
authors.forename: Seok-Mo
authors.initials: SM
authors.lastname: Kim
authors.forename: Ho-Sun
authors.initials: HS
authors.lastname: Choi
authors.forename: Ji-Su
authors.initials: JS
authors.lastname: Byun
authors.forename: Yong-Sik
authors.initials: YS
authors.lastname: Kim
authors.forename: Hyung-Rok
authors.initials: HR
authors.lastname: Kim
mesh_terms: D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects* / Q000379:methods; D007077:Ileal Diseases / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged; D002583:Uterine Cervical Neoplasms / Q000601:surgery; D014623:Vaginal Diseases / Q000209:etiology* / Q000601:surgery