Vaginal evisceration 3 years after abdominal hysterectomy and bilateral salpingo-oophorectomy
Article first published online: 21 MAY 2012
© 2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology
Journal of Obstetrics and Gynaecology Research
Volume 38, Issue 12, pages 1385–1388, December 2012
How to Cite
Orito, S., Masuya, N., Sakurabashi, A. and Minoura, S. (2012), Vaginal evisceration 3 years after abdominal hysterectomy and bilateral salpingo-oophorectomy. Journal of Obstetrics and Gynaecology Research, 38: 1385–1388. doi: 10.1111/j.1447-0756.2012.01877.x
- Issue published online: 27 NOV 2012
- Article first published online: 21 MAY 2012
- Received: June 30 2011.; Accepted: January 22 2012.
- postoperative complications;
Vaginal evisceration after a pelvic operation is a rare gynecological emergency. When intercourse is the cause, most cases occur within 1 year of surgery. A 53-year-old woman presented to the emergency room for vaginal evisceration half a day after the first postoperative occurrence of intercourse 3 years after an abdominal hysterectomy and bilateral salpingo-oophorectomy. In an emergency laparotomy, the protruding small bowel was replaced within the abdominal cavity. The avulsed vaginal cuff, which measured 6 cm in length and had atrophic but non-necrotic margins, was sutured. Women who go for long periods without intercourse after a hysterectomy, especially post-menopausal women, should be made aware of unrecognized vaginal atrophy that could, in some cases, lead to rupture and evisceration during the next occurrence of intercourse.