Post blunt trauma abdomen transvaginal omental evisceration: a rare case report

Authors

  • Mallikarjun Bhingare Department Of General Surgery, Government Medical College, Aurangabad, Maharashtra, India
  • Anant Beedkar Department Of General Surgery, Government Medical College, Aurangabad, Maharashtra, India
  • Pankaj Vairagad Department Of General Surgery, Government Medical College, Aurangabad, Maharashtra, India
  • Dhanashree Lahane Department of Obstetrics and Gynaecology, Government Medical College, Aurangabad, Maharashtra, India

DOI:

https://doi.org/10.18203/2349-2902.isj20212738

Keywords:

Transvaginal, Evisceration, Prolapse

Abstract

Vaginal evisceration is a surgical emergency. It's a rare but potentially fatal disorder. Only a few examples of transvaginal omental evisceration have been reported worldwide, however no evidence of post-trauma abdominal evisceration has been found. Vaginal evisceration in premenopausal women has been recorded infrequently compared to postmenopausal women and it has been linked to sexual and obstetric trauma. We presented a case of a premenarchal female who came with transvaginal omental evisceration after a blunt abdominal trauma and discussed the treatment choices for this uncommon surgical emergency.

References

Yuce K, Dursun P, Gultekin M. Posthysterectomy intestinal prolapse after coitus and vaginal repair. Arch Gynecol Obstet. 2005;272(1):80-1.

Hyernaux M. Rupture tramatique du vagin; issue des intestinesa l’extieur; application du grand forceps au detroit superieur; gurison. Bull Mem Acad Med Belg 1864;2(1):957.

Marchesi F. Late complications of vaginal total hysterectomy: colpoceles, prolapse of the omentum caused by spontaneous rupture of the vaginal fundus. Quad Clin Ostet Ginecol. 1955;10(2):71-82.

McGregor AN. Rupture of the vaginal wall with protrusion of small intestine in woman of 63 years of age. Br J Gynecol. 2005;11(3):252-8.

Manzano CD, MAMaestre M, CCejudo C, IAlvarez P. Small bowel and omentum evisceration after abdominal hysterectomy. Gynecol Surg. 2005;2:33-4.

Rollinson D, Brodman ML, Friedman F, Sperling R. Transvaginal small-bowel evisceration: a case report. Mt Sinai J Med. 1995;62(3):235-8.

Clarke RG, McGinn FP. Acute abdomen in a rare case of vaginal evisceration following subtotal hysterectomy. Internet J Gynecol Obstetr. 2007;6(2).

Kowalski LD, Seski JC, Timmins PF, Kanbour AI, Kunschner AJ, Kanbour-Shakir A. Vaginal evisceration: presentation and management in postmenopausal women. J Am Coll Surg. 1996;183(3):225-9.

Moen MD, Desai M, Sulkowski R. Vaginal evisceration managed by transvaginal bowel resection and vaginal repair. Int Urogynecol J Pelvic Floor Dysfunct. 2003;14(3):218-20.

Kambouris AA, Drukker BH, Barron J. Vaginal evisceration. A case report and brief review of the literature. Arch Surg. 1981;116(7):949-51.

Ayman ON, Tormey S, Aziz MA, Lane B. Vaginal herniation: Case report and review of the literature. Am J Obstet Gynecol. 2005;193(1):95-7.

Rogerio P, Jose DR, Omar F. Spontaneous transvaginal small bowel evisceration: a case report. Clinics (Sao Paulo). 2010;65(5):559-61.

Ramirez PT, Klemer DP. Vaginal evisceration after hysterectomy: a literature review. Obstet Gynecol Surv. 2002;57(7):462-7.

Vettoretto N, Balestra L, Taglietti L, Giovanetti M. Transvaginal evisceration after laparoscopic adrenalectomy in neurofibromatosis. J Emerg Trauma Shock. 2010;3(2):204-5.

Somkuti SG, Vieta PA, Daugherty JF, Hartley LW, Blackmon EB. Transvaginal evisceration after hysterectomy in premenopausal women: a presentation of three cases. Am J Obstet Gynecol. 1994;171(2):567-8.

Cardosi RJ, Hoffman MS, Roberts WS, Spellacy WN. Vaginal evisceration after hysterectomy in premenopausal women. Obstet Gynecol. 1999;94:859.

Wang DW, Kim MS, Choi SH. Vaginal evisceration after radical hysterectomy and adjuvant radiation. J Gynecol Oncol. 2009;20(1):63-4.

Kimura H, Maeda K, Konishi K, Tsuneda A, Tazawa K, Earashi M, et al. Prolapse of the small intestine through a ruptured vagina caused during sexual intercourse: report of a case. Surg Today. 1996;26(10):846-8.

Narducci F, Sonoda Y, Lambaudie E, Leblanc E, Querleu D. Vaginal evisceration after hysterectomy: the repair by a laparoscopic and vaginal approach with an omental flap. Gynecol Oncol. 2003;89(3):549-51.

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Published

2021-06-28

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Section

Case Reports