Get access

Vaginal evisceration 3 years after abdominal hysterectomy and bilateral salpingo-oophorectomy

Authors

  • Seiya Orito,

    Corresponding author
    1. Department of Obstetrics and Gynecology, National Center for Global Health and Medicine Hospital, Toyama, Shinjuku-ku, Tokyo
      Dr Seiya Orito, Department of Obstetrics and Gynecology, Public Fussa Hospital, 1-6-1 Kamidaira, Fussa City, Tokyo 197-8511, Japan. Email: oritos-tky@umin.ac.jp
    Search for more papers by this author
  • Norio Masuya,

    1. Department of Obstetrics and Gynecology, National Center for Global Health and Medicine Hospital, Toyama, Shinjuku-ku, Tokyo
    Search for more papers by this author
  • Ayako Sakurabashi,

    1. Department of Obstetrics and Gynecology, National Center for Global Health and Medicine Hospital, Toyama, Shinjuku-ku, Tokyo
    Search for more papers by this author
  • Shigeki Minoura

    1. Department of Obstetrics and Gynecology, National Center for Global Health and Medicine Hospital, Toyama, Shinjuku-ku, Tokyo
    Search for more papers by this author

Dr Seiya Orito, Department of Obstetrics and Gynecology, Public Fussa Hospital, 1-6-1 Kamidaira, Fussa City, Tokyo 197-8511, Japan. Email: oritos-tky@umin.ac.jp

Abstract

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.

Get access to the full text of this article

Ancillary