Transvaginal evisceration after laparoscopic hysterectomy: a case report

Renan Lucas da  Silva; Marlon Alves  Olivetti; José Henrique Gomes  Torres

doi:10.18502/fem.v9i2.19197

Renan Lucas da Silva Department of Internal Medicine, Faculty of Medicine of Itajubá, Minas Gerais, Brazil
Marlon Alves Olivetti Department of Vascular Surgery, Santa Marcelina Hospital, São Paulo, Brazil.
José Henrique Gomes Torres Department of Urology, Postgraduate Program in Translational Medicine, Department of Medicine, Paulista School of Medicine, Federal University of São Paulo, Brazil

DOI: https://doi.org/10.18502/fem.v9i2.19197

Keywords: Emergency Medicine; Hysterectomy; Small intestine; Visceral prolapse

Abstract

Transvaginal evisceration is a rare condition characterized by the externalization of abdominal viscera through the vagina. Menopause and hysterectomy are the primary risk factors. A postmenopausal woman presented to the emergency department with evisceration of the small intestine through the vagina three hours post-coitus. She had a history of laparoscopic hysterectomy performed three years prior. The patient underwent prompt laparotomic repair of the vaginal cuff. The diagnosis of transvaginal evisceration is primarily clinical, and immediate treatment aims to maintain intestinal viability and repair the vaginal cuff. The surgical approach is based on the surgeon’s experience, the patient's clinical condition, and resource availability.