A rare case of omental evisceration through the vaginal vault post hysterectomy

Authors

  • Neha Gauri Department of Surgery, Concord General Repatriation Hospital, NSW, Australia
  • Amy Thomas Department of Surgery, Concord General Repatriation Hospital, NSW, Australia
  • Kheng-Seong Ng Department of Surgery, Concord General Repatriation Hospital, NSW, Australia

DOI:

https://doi.org/10.18203/2349-2902.isj20230984

Keywords:

Omental prolapse, Vaginal perforation, Hysterectomy

Abstract

Vaginal vault perforation and evisceration of abdominal contents is a rare but well recognised complication of hysterectomy. We presented a rare case of a 40-year-old female with isolated omental prolapse 10 months post open abdominal hysterectomy after penile-vaginal intercourse. Early identification, initiation of antibiotics and operative management are critical to sepsis source control.

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References

Gandhi P, Jha S. Vaginal vault evisceration. Obstetr Gynaecol. 2011;13:231-7.

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

Hur HC, Guido RS, Mansuria SM, Hacker MR, Sanfilippo JS, Lee TT. Incidence and patient characteristics of vaginal cuff dehiscence after different modes of hysterectomies. J Minim Invasive Gynecol. 2007;14(3):311-7.

Uccella S, Ceccaroni M, Cromi A, Malzoni M, Berretta R, De Iaco P, et al. Vaginal cuff dehiscence in a series of 12,398 hysterectomies: effect of different types of colpotomy and vaginal closure. Obstet Gynecol. 2012;120(3):516-23.

Gandhi P, Jha S. Vaginal vault evisceration. Obstetr Gynaecol. 2011;13:231-7.

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

Hur HC, Guido RS, Mansuria SM, Hacker MR, Sanfilippo JS, Lee TT. Incidence and patient characteristics of vaginal cuff dehiscence after different modes of hysterectomies. J Minim Invasive Gynecol. 2007;14(3):311-7.

Hur HC, Guido RS, Mansuria SM, Hacker MR, Sanfilippo JS, Lee TT. Incidence and patient characteristics of vaginal cuff dehiscence after different modes of hysterectomies. J Minim Invasive Gynecol. 2007;14(3):311-7.

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.

Arimoku L, Trompetas V. Postcoital vaginal rupture after hysterectomy presenting as generalised peritonitis. Ann R Coll Surg Engl. 2011;93(7):e136-7.

Aydogmus H, Aydoğmuş S, Gençdal S, Kelekçi S. Cuff Closure by Vaginal Route in TLH: Case Series and Review of Literature. J Clin Diagn Res. 2017;11(3):QD01-3.

Aydogmus H, Aydoğmuş S, Gençdal S, Kelekçi S. Cuff Closure by Vaginal Route in TLH: Case Series and Review of Literature. J Clin Diagn Res. 2017;11(3):QD01-3.

Alfraidi R, Abdulaaly N, Alharbi A, Almodhaiberi H, Ali B, Sabagh H. Transvaginal small bowel evisceration: Case report and review of literature. Int J Surg Case Rep. 2022;96:107322.

Stebbings WS, Chalstrey LJ, Gilmore OJ, Shand WS, Staunton MD, Thomson JP. Stab injury--the experience of an East London Hospital 1978-1983. Postgrad Med J. 1987;63(736):81-4.

Stebbings WS, Chalstrey LJ, Gilmore OJ, Shand WS, Staunton MD, Thomson JP. Stab injury--the experience of an East London Hospital 1978-1983. Postgrad Med J. 1987;63(736):81-4.

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Published

2023-03-31

How to Cite

Gauri, N., Thomas, A., & Ng , K.-S. (2023). A rare case of omental evisceration through the vaginal vault post hysterectomy . International Surgery Journal, 10(4), 723–726. https://doi.org/10.18203/2349-2902.isj20230984

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Section

Case Reports