Vaginal evisceration. A case report and brief review of the literature
A. A. Kambouris, B. H. Drukker and J. Barron
A 70-year-old woman was successfully treated for spontaneous vaginal
evisceration, with extensive infarction of small intestine, by an abdominal
and vaginal approach. Vaginal evisceration is a rare condition. It usually
occurs in postmenopausal women after one or more vaginal operations and in
the presence of an enterocele or other local abnormalities that contribute
to tissue weakness. Prompt recognition and surgical treatment, combining
abdominal and vaginal approaches as indicated, and use of ancillary
antibiotics and anticoagulant regimens is associated with successful
outcome in most instances.
