Transvaginal small bowel evisceration in known case of uterine prolapse due to trauma.
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.
Assistant Professor, Department of Surgery, Shree Krishna Hospital , Karamsad, India .
Umesh
U
Gheewala
Resident, Department of Surgery, Pramukhswami Medical College, Shree Krishna Hospital , Karamsad, India .
Abhishek
A
Agrawal
Student, Pramukhswami Medical College , Karamsad, India .
Radha
R
Shukla
Student, Pramukhswami Medical College , Karamsad, India .
Ravi
R
Bhatt
Professor and Head, Department of Surgery, Shree Krishna Hospital , Karamsad, India .
Shirish
S
Srivastava
Intestinal herniation; Multiparaous; Postmenopausal; Trauma; Uterine prolapse