Solberg Jon, Saravana Karan
University of North Dakota, Department of Emergency Medicine, Bismarck, North Dakota.
University of North Dakota, School of Medicine and Health Sciences, Bismarck, North Dakota.
Clin Pract Cases Emerg Med. 2022 Aug;6(3):262-263. doi: 10.5811/cpcem.2022.2.56353.
A 31-year-old female presented to the emergency department with abdominal pain and a 15-centimeter bloody vaginal protrusion, which resulted during an attempted bowel movement. Reduction of the mass was unsuccessful, and the patient was taken to the operating room for examination.
In patients with a history of vaginal hysterectomy, the vaginal cuff can dehisce and abdominal contents may protrude through the vaginal canal. In this case presentation, the vaginal mass was found to be omental tissue, which could be mistaken for a prolapse of vaginal mucosa. Therefore, a proper pelvic exam is imperative, as prolapse through a cuff dehiscence can lead to severe complications.
一名31岁女性因腹痛和15厘米的血性阴道肿物就诊于急诊科，该肿物是在试图排便时出现的。肿物回纳失败，患者被送往手术室进行检查。
有阴道子宫切除病史的患者，阴道断端可能裂开，腹腔内容物可经阴道管突出。在本病例中，发现阴道肿物为网膜组织，可能被误诊为阴道黏膜脱垂。因此，必须进行适当的盆腔检查，因为经断端裂开处脱垂可导致严重并发症。
