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Volume 14
Issue 22
10.3390/diagnostics14222498
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Interesting Images

Spontaneous Transvaginal Small Bowel Evisceration After Laparoscopic Hysterectomy

by
Ismini Kountouri
1,*,
Amyntas Giotas
2,
Christos Gkogkos
2,
Ioannis Katsarelas
1,
Panagiotis Nachopoulos
1,
Afroditi Faseki
1,
Dimitrios Chatzinas
1,
Alexandra Panagiotou
1,
Athanasios Polychronidis
1,
Mohammad Husamieh
1,
Periklis Dimasis
1,
Nikolaos Gkiatas
1,
Dimitra Manolakaki
1 and
Miltiadis Chandolias
1
1
Department of General Surgery, General Hospital of Katerini, 60100 Pieria, Greece
2
Gynecology and Obstetrics Department, General Hospital of Katerini, 60100 Pieria, Greece
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(22), 2498; https://doi.org/10.3390/diagnostics14222498
Submission received: 30 September 2024 / Revised: 31 October 2024 / Accepted: 6 November 2024 / Published: 8 November 2024
(This article belongs to the Collection Interesting Images)
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Abstract

Vaginal cuff dehiscence can be a rare complication of total hysterectomy, with an estimated prevalence of 0.032% to 1.25% and a high mortality rate of 6 to 10%. Dehiscence is also reported in cases following total laparoscopic hysterectomy, with a prevalence of 0.87%. This case report details the emergency management of a 59-year-old female who complained of abdominal and pelvic pain and the feeling of a foreign body in her vagina. The patient reported a history of laparoscopic total hysterectomy 6 months prior to presenting at the Emergency Department. A clinical examination revealed small bowel loops protruding through the vagina. The patient underwent exploratory laparotomy through a Pfannenstiel incision, and the terminal ileum was found prolapsing through the vaginal cuff. The bowel loops were identified as viable and the vagina was sutured. The patient had an unremarked post operative course. This case report showcases that in patients with transvaginal evisceration, immediate surgical management is crucial in order to avoid serious life threatening complications, and both surgeons and gynecologists should remain vigilant regarding this pathology.
Keywords: transvaginal evisceration; acute abdomen; total hysterectomy complications transvaginal evisceration; acute abdomen; total hysterectomy complications

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MDPI and ACS Style

Kountouri, I.; Giotas, A.; Gkogkos, C.; Katsarelas, I.; Nachopoulos, P.; Faseki, A.; Chatzinas, D.; Panagiotou, A.; Polychronidis, A.; Husamieh, M.; et al. Spontaneous Transvaginal Small Bowel Evisceration After Laparoscopic Hysterectomy. Diagnostics 2024, 14, 2498. https://doi.org/10.3390/diagnostics14222498

AMA Style

Kountouri I, Giotas A, Gkogkos C, Katsarelas I, Nachopoulos P, Faseki A, Chatzinas D, Panagiotou A, Polychronidis A, Husamieh M, et al. Spontaneous Transvaginal Small Bowel Evisceration After Laparoscopic Hysterectomy. Diagnostics. 2024; 14(22):2498. https://doi.org/10.3390/diagnostics14222498

Chicago/Turabian Style

Kountouri, Ismini, Amyntas Giotas, Christos Gkogkos, Ioannis Katsarelas, Panagiotis Nachopoulos, Afroditi Faseki, Dimitrios Chatzinas, Alexandra Panagiotou, Athanasios Polychronidis, Mohammad Husamieh, and et al. 2024. "Spontaneous Transvaginal Small Bowel Evisceration After Laparoscopic Hysterectomy" Diagnostics 14, no. 22: 2498. https://doi.org/10.3390/diagnostics14222498

APA Style

Kountouri, I., Giotas, A., Gkogkos, C., Katsarelas, I., Nachopoulos, P., Faseki, A., Chatzinas, D., Panagiotou, A., Polychronidis, A., Husamieh, M., Dimasis, P., Gkiatas, N., Manolakaki, D., & Chandolias, M. (2024). Spontaneous Transvaginal Small Bowel Evisceration After Laparoscopic Hysterectomy. Diagnostics, 14(22), 2498. https://doi.org/10.3390/diagnostics14222498

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