Transvaginal Evisceration in a Patient With Rectovaginal Prolapse: A Twist in the Tale
2024

Transvaginal Evisceration in a Patient With Rectovaginal Prolapse

Sample size: 1 publication Evidence: low

Author Information

Author(s): Muacevic Alexander, Adler John R, Leandro Sofia, Leandro Rita, Martins Ana, Silva Artur, Carvalho Manuel

Primary Institution: Hospital do Espírito Santo de Évora, Évora, PRT

Conclusion

The case highlights the importance of recognizing transvaginal evisceration as a potential complication in patients with rectovaginal prolapse, even after minor trauma.

Supporting Evidence

  • Transvaginal evisceration is a rare but severe complication.
  • The patient was hemodynamically stable upon presentation.
  • Prompt surgical intervention is essential to prevent severe complications.
  • The patient had a history of rectovaginal prolapse.
  • The eviscerated bowel appeared viable with no signs of strangulation.

Takeaway

A woman had a rare condition where her intestines came out through her vagina after lifting something heavy, but doctors quickly helped her and she got better.

Methodology

The patient underwent an exploratory laparotomy to repair a full-thickness defect in the vaginal wall and reduce the eviscerated bowel.

Participant Demographics

67-year-old postmenopausal female with a history of rectovaginal prolapse.

Digital Object Identifier (DOI)

10.7759/cureus.75134

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