Ben Safta Yacine, Ghalleb Montassar, Baccari Aymen, Hamdi El Kebir Ghassen, Daldoul Sami, Sayari Sofiene, Ben Moussa Mounir
General Surgery Department A, Charles Nicolle Hospital, Faculté de médecine de Tunis El Manar, Tunisia.
Int J Surg Case Rep. 2017;41:234-237. doi: 10.1016/j.ijscr.2017.10.045. Epub 2017 Oct 28.
Vaginal cuff dehiscence (VCD) and evisceration (VCDE) are rare but rather serious complications of hysterectomy procedures. We aimed to report a case of VCDE happening eleven years after the initial surgery and review a treatment protocol of this rare complication.
A 68 years old Tunisian female patient In 2004, the patient underwent concomitant chemoradiation followed by total abdominal radical hysterectomy for a squamous cell carcinoma of the cervix. Eleven years later, after an abdominal thrust due to a strong cough the patient had a protrusion of the two small bowels. Patient was surgically treated following a combined approach. The follow-up did not show any sign of relapse.
VCDE is a rare complication of hysterectomy that carries a lot of mobimortality if not treated on time. Surgery without delay is usually a guarantee for a god outcome.
阴道残端裂开（VCD）和脏器脱出（VCDE）是子宫切除手术中罕见但较为严重的并发症。我们旨在报告一例初次手术后11年发生的VCDE病例，并回顾这种罕见并发症的治疗方案。
一名68岁的突尼斯女性患者。2004年，该患者因宫颈鳞状细胞癌接受同步放化疗，随后行全腹根治性子宫切除术。11年后，患者因剧烈咳嗽导致腹部用力，出现两段小肠突出。患者接受了联合手术治疗。随访未发现复发迹象。
VCDE是子宫切除术中一种罕见的并发症，如果不及时治疗会导致很高的死亡率。及时手术通常是良好预后的保证。
