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Vaginal evisceration after trauma unrelated to previous pelvic surgery.

作者信息

Bozkurt Nuray, Korucuoglu Umit, Bakirci Yahya, Yilmaz Utku, Sakrak Omer, Guner Haldun

机构信息

Department of Obstetrics and Gynecology, Gazi University Faculty of Medicine, Besevler, 06500 Ankara, Turkey.

出版信息

Arch Gynecol Obstet. 2009 Apr;279(4):595-7. doi: 10.1007/s00404-008-0768-3. Epub 2008 Sep 2.

Abstract

BACKGROUND

Vaginal evisceration is described as extrusion of intraperitoneal contents secondary to the disruption of the vagina. It is an extremely rare emergency condition.

OBJECTIVES

To describe a very rare case of vaginal evisceration that occurred after blunt trauma in a patient with no prior pelvic surgery.

CASE REPORT

This report describes vaginal evisceration in a 73-year-old female with no prior pelvic surgery, after blunt trauma. The patient was handled by the cooperation of gynecology and general surgery departments. An immediate surgery was performed after stabilization of the patient and no postoperative complications occurred.

CONCLUSION

Whatever be the treatment approach, emergency management of vaginal evisceration is critical to the preservation of a viable bowel. Repositioning of viable bowels into the abdominal cavity and appropriate surgical repair are cornerstones of the treatment.

摘要

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