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Gynecological Surgery
Published in: Gynecological Surgery 3/2004

01-09-2004 | Case Report

Delayed life-threatening vaginal dehiscence following hysterectomy

Authors: C. Panayotidis, C. N. Hall, T. S. Onon

Published in: Gynecological Surgery | Issue 3/2004

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Abstract

We describe a case of an elderly patient who presented as an acute surgical emergency with strangulated intestine prolapsing through the vagina and onto the vulva. She became cardiovascularly unstable and required resuscitation before emergency surgery to resect infarcted intestine and repair the vaginal vault. The pathogenesis and management of this unusual complication of hysterectomy are discussed.
Literature
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Ramirez PT, Klemer DP (2002) Vaginal evisceration after hysterectomy: a literature review. Obstet Gynecol Surv 57:462–467
2.
Croak AJ, Gebhart JB, Klingele CJ, Schroeder G, Lee RA, Podratz KC (2004) Characteristics of patients with vaginal rupture and evisceration. Obstet Gynecol 103:572–576
3.
Nezhat CH, Nezhat F, Seidman DS, Nezhat C (1996) Vaginal vault evisceration after total laparoscopic hysterectomy. Obstet Gynecol 87:868–870
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Kowalski LD, Seski JC, Timmins PF, Kanbour AI, Kunschner AJ, Kanbour-Shakir A (1996) Vaginal evisceration: presentation and management in postmenopausal women. J Am Coll Surg 183:225–229
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Lledo JB, Roig MP, Serra AS, Astaburuaga CR, Gimenez FD (2002) Laparoscopic repair of vaginal evisceration: a case report. Surg Laparosc Endosc Percutan Tech 12:446–448
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Narducci F, Sonoda Y, Lambaudie E, Leblanc E, Querleu D (2003) Vaginal evisceration after hysterectomy: the repair by a laparoscopic and vaginal approach with a omental flap. Gynecol Oncol 89:549–551
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Moen MD, Desai M, Sulkowski R (2003) Vaginal evisceration managed by transvaginal bowel resection and vaginal repair. Int Urogynecol J Pelvic Floor Dysfunct 14:218–20 (Epub 2003 Apr 23)
Metadata
Title
Delayed life-threatening vaginal dehiscence following hysterectomy
Authors
C. Panayotidis
C. N. Hall
T. S. Onon
Publication date
01-09-2004
Publisher
Springer-Verlag
Published in
Gynecological Surgery / Issue 3/2004
Print ISSN: 1613-2076
Electronic ISSN: 1613-2084
DOI
https://doi.org/10.1007/s10397-004-0047-7

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