Sinclair Myles D J, Davies Andrew R, Sankaran Sridevi, Agnihotri Sangeeta, Andreani Stefano M
Whipps Cross University Hospital, Leytonstone, London, UK.
Ann R Coll Surg Engl. 2010 Jan;92(1):W3-5. doi: 10.1308/147870810X476610.
Spontaneous vaginal evisceration of the small bowel is a rare event. It is precipitated in the postmenopausal woman commonly by hysterectomy and in the premenopausal woman by vaginal trauma. We report a case of a 75-year-old woman presenting with a protruding mass in her vagina and associated abdominal pain. A combined laparoscopic and transvaginal method of repair is described and the advantage of using both techniques highlighted.