[Vaginal eviscentration with secondary strangulation of small bowel].
A case of 81 year old patient with eviscentration through vagina with a strangulation of small bowel was described. The woman was treated gynecologically and underwent surgery previously. The eviscentration occurred 21 months after last surgery and was connected with high abdominal pressure during defecation. Woman was qualified to an urgent laparotomy, and the hole about 15 mm length in vaginal posterior vault was found. Through the hole passed small bowel which was strangulated. The bowel was removed to the abdominal cavity and during its control no necrosis was found. The color and vascularity return to normal and right peristaltic was noticed. The hole in parietal peritoneum was closed by a continuous suture. The hole in vagina was also closed by the continuous suture from the perineal side. Woman in good general condition was discharged from hospital in the 13th day after surgery.
Oddziału Chirurgii Ogólnej, Szpitala im. Edmunda Biernackiego w Mielcu.
Piotr
P
Gembal
Wiesław
W
Grzegorczyk
Bogumił
B
Grabowski
Krzysztof
K
Milik
Marek
M
Pajak
Krzysztof
K
Bielecki
D005260:Female; D006801:Humans; D007421:Intestine, Small; D014621:Vagina