Transanal Evisceration of Small Bowel-A Rare Surgical Emergency
Evisceration of bowel following a stab wound from a knife. Evisceration is the extrusion of abdominal contents secondary to penetrating abdominal trauma. Support Radiopaedia and see fewer ads. Updating… Please wait. Unable to process the form. Check for errors and try again. Thank you for updating your details.
Evisceration of bowel through the vaginal vault is an extremely rare condition and is considered to be a surgical emergency. We present the case of an year-old female who was brought to the emergency department with a vaginal prolapse complicated by evisceration of small bowel. A midline laparotomy was performed for reduction of the bowel with a subsequent vaginal repair. We present this case due to its rarity and high-reported mortality rate. We present the case of an year-old female who was brought to the emergency department with evisceration of small bowel through a ruptured vagina. Midline laparotomy was performed for reduction of small bowel with associated vaginal repair. An year-old female presented with evisceration of small bowel through a perforated vaginal vault.
Spontaneous transvaginal small bowel evisceration: a case report
Vaginal evisceration is an evisceration of the small intestine that occurs through the vagina , typically subsequent to vaginal hysterectomy , and especially as a consequence of sexual intercourse after the surgery. It is a surgical emergency. Vaginal evisceration is typically obvious upon presentation, as intestine typically ileum can be seen protruding from the introitus. Other symptoms include a sense of pressure in the pelvis and vaginal bleeding. Complications of surgery can include injury to the bladder , rectum , or ureter , especially in cases where there has been tissue necrosis.
Spontaneous evisceration through the vagina was first described in by McGregor. In postmenopausal woman, transvaginal evisceration is frequently associated with increased abdominal pressure, 1 vaginal ulceration due to severe atrophy, and straining at stool. Vaginal evisceration is a medical emergency that requires prompt recognition and immediate surgical intervention. Here, we report a case of vaginal vault rupture with evisceration through the vagina and highlight the risk factors, clinical presentation, and treatment options for this rare gynecological emergency. A female patient aged seventy-five years was admitted to the emergency room with abdominal pain ten days after an angioplasty plus coronary stent implantation, which had been performed through the femoral artery.
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