Vaginal evisceration. A case report and brief review of the literature.

A 70-year-old woman was successfully treated for spontaneous vaginal evisceration, with extensive infarction of small intestine, by an abdominal and vaginal approach. Vaginal evisceration is a rare condition. It usually occurs in postmenopausal women after one or more vaginal operations and in the presence of an enterocele or other local abnormalities that contribute to tissue weakness. Prompt recognition and surgical treatment, combining abdominal and vaginal approaches as indicated, and use of ancillary antibiotics and anticoagulant regimens is associated with successful outcome in most instances.