title: Vaginal cuff dehiscence with adnexal mass evisceration after abdominal hysterectomy.
abstract: BACKGROUND
  More commonly, a vaginal cuff dehiscence is a complication of robotic or laparoscopic hysterectomy while dehiscence is less commonly observed following total abdominal or vaginal hysterectomies.
  
  
  METHODS
  Three years after an uncomplicated total abdominal hysterectomy for fibroid uterus, a 50 year old female with a known, large adnexal mass presented with vaginal cuff dehiscence and prolapse of the adnexal mass through the vaginal cuff.
  
  
  CONCLUSIONS
  We discuss surgical risk factors including route of hysterectomy, method of colpotomy and vaginal cuff closure as contributing factors for vaginal cuff dehiscence in our patient.
  
  
  CONCLUSIONS
  Any large pelvic mass that may potentially exert pressure necrosis on the vaginal cuff, even remote from hysterectomy may result a vaginal cuff dehiscence. Emergent surgical intervention is warranted.
authors.affiliation: Department of Obstetrics and Gynecology, Metropolitan Hospital Center of New York Medical College, United States. Electronic address: Miminguyen17@gmail.com.
authors.forename: My-Linh T
authors.initials: ML
authors.lastname: Nguyen
authors.forename: Adanna L
authors.initials: AL
authors.lastname: Anyikam
authors.forename: Michele
authors.initials: M
authors.lastname: Paolucci