Transvaginal intestinal evisceration after genital and perineal trauma: A case report and review of the literature
DOI:
https://doi.org/10.18597/rcog.52Keywords:
Pelvic organ prolapse, atrophy, small intestine.Abstract
Objective: To present the management of a female patients with transvaginal intestinal evisceration resulting from genital and perineal trauma, as well as to describe the aetiology, diagnosis and treatment of this gynaecological condition based on a review of the literature.
Materials and methods: Case presentation of a 63 year-old female patient with genital prolapse who fell from her own height and sustained blunt trauma and genital and perineal crush injury. Afterwards the patient presented disruption of the vaginal wall and evisceration of intestinal loops and was admitted at a referral public hospital in Bogotá, Colombia. A search was conducted in the PubMed, Science Direct and MD Consult databases using the key words "vaginal", "evisceration" and "trauma". The search was limited to papers written in English and Spanish.
Results: Overall, 40 articles were found. Of them, 16 studies were selected: one descriptive case series while the remaining were case reports. The majority of the case reports described referred to post-menopausal patients with a history of pelvic gynaecological surgery, although there were reports of women of childbearing age with a different causal mechanism. Diagnosis is based on the clinical history and physical examination findings. It is considered to require urgent surgery and the surgical approach depends on the physical findings and the associated medical conditions.
Conclusion: Transvaginal evisceration is a rare occurrence but it is considered to require urgent surgery because of potential complications associated with peritoneal contamination or necrosis.
Author Biographies
Eder Alonso Ospino-Durán
Carol Liliana Rodríguez-Amorocho
Luis Fernando Castaño-Molano
Carlos Julio García-Perlaza
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