Coitus induced vaginal evisceration in a premenopausal woman: a case report

Patient Safety in Surgery - Tập 5 - Trang 1-4 - 2011
Nishikant N Gujar1, Ravikumar K Choudhari1, Geeta R Choudhari2, Nasheen M Bagali3, Mahendra B Bendre1, Santosh B Adgale4
1Department of General Surgery, Al Ameen Medical College, Bijapur, India
2Department of Gynecology and Obstetrics, Al Ameen Medical College, Bijapur, India
3Department of Pathology, Al Ameen Medical College, Bijapur, India
4S.R.T.R Medical College, Ambejogai, India

Tóm tắt

Vaginal evisceration in premenopausal women after trans-abdominal hysterectomy is extremely rare in occurrence and only few cases have been documented in worldwide literature. Here we report a premenopausal woman with coitus induced trans-vaginal evisceration who had undergone trans-abdominal hysterectomy two years ago. This article highlights coitus as a trigger event for inducing vaginal evisceration and that vaginal evisceration caused by sexual intercourse should be considered in the field of surgery when a pre-menopausal woman presents with acute abdominal pain with no history of any other traumatic episode.

Tài liệu tham khảo

Clarke RG, McGinn FP: Acute abdomen in a rare case of vaginal evisceration following subtotal hysterectomy. The Internet J of Gynecology and Obstetrics. 2007, 6 (2): Daza Manzano, Martinez Maestre, Conzalez Cejudo, Peregrin Alvarez: Small bowel and omentum evisceration after abdominal hysterectomy. Gynecol Surg. 2005, 2: 33-34. 10.1007/s10397-004-0080-6. Yuce K, Dursun P, Gultekin M: Post hysterectomy intestinal prolapse after coitus and vaginal repair. Arch Gynecol Obstet. 2005, 272 (1): 80-1. 10.1007/s00404-004-0709-8. Nereo Vettoretto, Luca Balestra, Lucio Taglietti, Maurizio Giovanetti: Transvaginal evisceration after laparoscopic adrenalectomy in neurofibromatosis. Journal of Emergencies, Trauma and Shock. 2010, 3 (2): 204-205. 10.4103/0974-2700.62107. Croak AJ, Gebhart JB, Klingele CJ: Cuff characteristics of patients with vaginal rupture and evisceration. Obstet Gynecol. 2004, 103: 572-10.1097/01.AOG.0000115507.26155.45. 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: 311-7. 10.1016/j.jmig.2006.11.005. Iaco PD, Ceccaroni M, Alboni C, Roset B, Sansovini M, D'Alessandro L: Transvaginal evisceration after hysterectomy: Is vaginal cuff closure associated with a reduced risk?. Eur J Obstet Gynecol Reprod Biol. 2006, 125: 134-8. 10.1016/j.ejogrb.2005.08.009. Dae Woo Wang, Mo Seok Kim, Sun Ho Choi: Vaginal evisceration after radical hysterectomy and adjuvant radiation. J Gynecol Oncol. 2009, 20 (1): 63-64. 10.3802/jgo.2009.20.1.63. Ramirez PT, Klemer DP: Vaginal evisceration after hysterectomy: a literature review. Obstet Gynecol Surb. 2002, 57: 462-7. 10.1097/00006254-200207000-00023. Hironobu Kimura, Kiichi Maeda, Kohji Konishi, Atsushi Tsuneda, Kenichi Tazawa, Mitsuharu Earashi, Tetsuya Inoue, Kazuhisa Yabushita, Yoshitaka Kuroda, Masahiko Tsuji: Prolapse of the small intestine through a ruptured vagina caused during sexual intercourse: report of a case. Jpn J Surg. 1996, 26: 846-848. 10.1007/BF00311653. Narducci F, Sonoda Y, Lambaudie E, Leblanc E, Querleu D: Vaginal evisceration after hysterectomy: the repair by a laparoscopic and vaginal approach with a omental flap. Gynecol Oncol. 2003, 89: 549-51. 10.1016/S0090-8258(03)00153-7. Parra Serafim Rogerio, da Rocha Joaquim Riberio Jose, Feres Omar: Spontaneous transvaginal small bowel evisceration: a case report. Clinics (Sao Paulo). 2010, 65 (5): 559-561.