Spontaneous transvaginal small bowel evisceration 40 years post-abdominal hysterectomy

First described by Hyernaux in 1864, evisceration of the bowel through the vagina is a rare event, with <100 cases described in the literature. 1 It most commonly affects postmenopausal women (mean age of 62 according to Croak) with a history of hysterectomy or vaginal surgery. 2 It can occur spo...

Full description

Saved in:

Bibliographic Details
Published in:	BMJ case reports Vol. 2016; p. bcr2016216573
Main Authors:	Cherbanyk, Floryn, Gassend, Jean-Loup, Hennion, Dominique, Froment, Philippe
Format:	Journal Article
Language:	English
Published:	England BMJ Publishing Group LTD 10-08-2016 BMJ Publishing Group
Subjects:	Abdomen Aged Europe (West) Female Females Hernias Humans Hysterectomy Hysterectomy - adverse effects Images In Intestinal Diseases - etiology Intestine, Small Mortality Postoperative Complications - etiology Prolapse Small intestine Surgery Time Factors Vagina White
Online Access:	Get full text
Tags:	Add Tag No Tags, Be the first to tag this record!

Description
Summary:	First described by Hyernaux in 1864, evisceration of the bowel through the vagina is a rare event, with <100 cases described in the literature. 1 It most commonly affects postmenopausal women (mean age of 62 according to Croak) with a history of hysterectomy or vaginal surgery. 2 It can occur spontaneously or after any sort of vaginal trauma such as rough intercourse or vaginal examination. 3 A high index of suspicion and a pelvic examination are therefore required when dealing with elderly female patients with abdominal pain accompanied by vaginal symptoms and a history of hysterectomy or vaginal surgery.
Bibliography:	ObjectType-Case Study-2 SourceType-Scholarly Journals-1 ObjectType-Feature-4 content type line 23 ObjectType-Report-1 ObjectType-Article-3
ISSN:	1757-790X 1757-790X
DOI:	10.1136/bcr-2016-216573