title: Laparoscopically assisted repair of vaginal evisceration after hysterectomy.
abstract: Vaginal evisceration is a rare condition most commonly associated with previous vaginal surgery. It usually presents with vaginal bleeding, lower abdominal pain and a protruding mass, and requires immediate assessment and surgical management to salvage the prolapsed bowel. Any delay in the treatment may result in bowel ischaemia and perforation which is associated with higher morbidity and mortality. We report a case of spontaneous vaginal evisceration during defaecation in a 56-year-old postmenopausal women 11 months post hysterectomy. This case highlights the benefits of a combined laparoscopic and transvaginal approach in the successful management of this surgical emergency.
authors.affiliation: Department of Surgery, Queen Elizabeth Woolwich, London, UK.
authors.forename: Ioannis
authors.initials: I
authors.lastname: Nikolopoulos
authors.forename: Hasan
authors.initials: H
authors.lastname: Khan
authors.forename: Gnananandan
authors.initials: G
authors.lastname: Janakan
authors.forename: Rajab
authors.initials: R
authors.lastname: Kerwat
mesh_terms: D003672:Defecation; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007410:Intestinal Diseases / Q000209:etiology / Q000601:surgery*; D007422:Intestines / Q000473:pathology / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D008875:Middle Aged; D017698:Postmenopause; D011183:Postoperative Complications / Q000601:surgery*; D014621:Vagina / Q000473:pathology / Q000601:surgery*; D014623:Vaginal Diseases / Q000209:etiology / Q000601:surgery*; D014782:Visceral Prolapse / Q000209:etiology / Q000601:surgery*