Transvaginal evisceration after abdominal hysterectomy. Case report
Evisceration is a condition in which abdominal viscera protrude through an unnatural hole, with an incidence between 0.03 and 4.1%. This condition often occurs after an abdominal hysterectomy (47%), vaginal hysterectomy (29.4%) or laparoscopic approach (23.6%). It has the highest incidence in hyster...
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| Language: | English |
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Universidad Nacional de Colombia
2016-07-01
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| Series: | Case Reports |
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| Online Access: | https://revistas.unal.edu.co/index.php/care/article/view/58998 |
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| author | James Neira Irlanda Elizabeth Moyota Paguay Luver Alexi Macias Jara David Cipriano Yepez Yepez |
| author_facet | James Neira Irlanda Elizabeth Moyota Paguay Luver Alexi Macias Jara David Cipriano Yepez Yepez |
| author_sort | James Neira |
| collection | DOAJ |
| description | Evisceration is a condition in which abdominal viscera protrude through an unnatural hole, with an incidence between 0.03 and 4.1%. This condition often occurs after an abdominal hysterectomy (47%), vaginal hysterectomy (29.4%) or laparoscopic approach (23.6%). It has the highest incidence in hysterectomized postmenopausal women, while the time interval between surgery and complication onset may vary from a few days to a few years. Moreover, in most cases, the eviscerated organ is the small intestine, which represents a surgical emergency. Transvaginal evisceration is a rare entity and is scarcely documented; the case of a 81-year-old patient with a history of abdominal hysterectomy, who attended the medical service after eight hours of evolution of a clinical picture characterized by pelvic pain and ejection of the large intestine (sigmoid colon) through the vaginal canal is presented here. The patient underwent an exploratory laparotomy, Hartmann colostomy, rectopexy to the promontory and restitution of traffic in a subsequent procedure; after presenting a satisfactory evolution, she was discharged. |
| format | Article |
| id | doaj-art-3bc50c25b05443f88e9236ddc6b2f1b7 |
| institution | Kabale University |
| issn | 2462-8522 |
| language | English |
| publishDate | 2016-07-01 |
| publisher | Universidad Nacional de Colombia |
| record_format | Article |
| series | Case Reports |
| spelling | doaj-art-3bc50c25b05443f88e9236ddc6b2f1b72024-11-26T23:59:51ZengUniversidad Nacional de ColombiaCase Reports2462-85222016-07-012244710Transvaginal evisceration after abdominal hysterectomy. Case reportJames Neira0Irlanda Elizabeth Moyota Paguay1Luver Alexi Macias Jara2David Cipriano Yepez Yepez3University of GuayaquilHospital Luis VernazaHospital Luis VernazaHospital Luis VernazaEvisceration is a condition in which abdominal viscera protrude through an unnatural hole, with an incidence between 0.03 and 4.1%. This condition often occurs after an abdominal hysterectomy (47%), vaginal hysterectomy (29.4%) or laparoscopic approach (23.6%). It has the highest incidence in hysterectomized postmenopausal women, while the time interval between surgery and complication onset may vary from a few days to a few years. Moreover, in most cases, the eviscerated organ is the small intestine, which represents a surgical emergency. Transvaginal evisceration is a rare entity and is scarcely documented; the case of a 81-year-old patient with a history of abdominal hysterectomy, who attended the medical service after eight hours of evolution of a clinical picture characterized by pelvic pain and ejection of the large intestine (sigmoid colon) through the vaginal canal is presented here. The patient underwent an exploratory laparotomy, Hartmann colostomy, rectopexy to the promontory and restitution of traffic in a subsequent procedure; after presenting a satisfactory evolution, she was discharged.https://revistas.unal.edu.co/index.php/care/article/view/58998Visceral ProlapseHysterectomyColostomy |
| spellingShingle | James Neira Irlanda Elizabeth Moyota Paguay Luver Alexi Macias Jara David Cipriano Yepez Yepez Transvaginal evisceration after abdominal hysterectomy. Case report Case Reports Visceral Prolapse Hysterectomy Colostomy |
| title | Transvaginal evisceration after abdominal hysterectomy. Case report |
| title_full | Transvaginal evisceration after abdominal hysterectomy. Case report |
| title_fullStr | Transvaginal evisceration after abdominal hysterectomy. Case report |
| title_full_unstemmed | Transvaginal evisceration after abdominal hysterectomy. Case report |
| title_short | Transvaginal evisceration after abdominal hysterectomy. Case report |
| title_sort | transvaginal evisceration after abdominal hysterectomy case report |
| topic | Visceral Prolapse Hysterectomy Colostomy |
| url | https://revistas.unal.edu.co/index.php/care/article/view/58998 |
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