Atraumatic Spontaneous Transvaginal Small Bowel Evisceration: A Rare Surgical Emergency

Abdominal pain ranks as the predominant cause for emergency department consultations. Although rare, transvaginal evisceration of the small intestine necessitates immediate surgical intervention due to its potential to induce intestinal ischemia and peritonitis. Key risk factors include postmenopaus...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2024-03, Vol.16 (3), p.e56564
Main Authors: Fuentes, Kevin J, Arechavala Lopez, Sara Fernanda, Fuentes, Irving, Leal Hidalgo, Jorge, Martínez Zarate, Juan Jacobo
Format: Article
Language:English
Subjects:
Abdomen
Emergency medical care
Gynecological surgery
Hysterectomy
Laparoscopy
Laparotomy
Morbidity
Mortality
Pain
Patients
Peritonitis
Risk factors
Small intestine
Surgeons
Sutures
Trauma
Vagina
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Summary:Abdominal pain ranks as the predominant cause for emergency department consultations. Although rare, transvaginal evisceration of the small intestine necessitates immediate surgical intervention due to its potential to induce intestinal ischemia and peritonitis. Key risk factors include postmenopausal status, a history of gynecologic surgery, and heightened abdominal pressure. Clinical presentation typically involves pain and protrusion of intestinal contents or even abdominal viscera. Diagnosis relies on thorough clinical assessment, and treatment strategies should be tailored to each patient. Here, we describe the case of a 65-year-old female patient with a non-traumatic evisceration of the ileum, who had undergone total abdominal hysterectomy following anterior colpocele a year ago, subsequently necessitating exploratory laparotomy and repair of the vaginal ampulla.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.56564