Spontaneous Transvaginal Small-Bowel Evisceration After Perineal Proctectomy

Abstract

Key words: Evisceration of small intestine; Vaginal evisceration; Vaginal rupture; Rectal prolapse; Enterocele; Proctectomy] O'Brien LM, Bellin LS, Isenberg GA, Goldstein SD. Spontaneous transvaginal small-bowel evisceration after perineal proctectomy: report of a case and review of the literature.

Spontaneous transvaginal bowel evisceration

“…[4] The risk factors for evisceration for premenopausal women include trauma due to coitus, rape, obstetric procedures, or foreign-body insertion and postmenopausal women risks are older age, previous vaginal surgery, enterocele repair, a sudden increase in intra-abdominal pressure (i.e., straining, coughing, defecating) and medical conditions which predispose to inadequate wound healing. [1256] Other risk factors include history of irradiation, abdominal or vaginal hysterectomy, perineal proctectomy and is rarely known to occur spontaneously. [126789] Spontaneous rupture is commonly occurs at the posterior fornix.…”

“…[1256] Other risk factors include history of irradiation, abdominal or vaginal hysterectomy, perineal proctectomy and is rarely known to occur spontaneously. [126789] Spontaneous rupture is commonly occurs at the posterior fornix. [5]…”

“…[12] Bowel evisceration is more commonly seen (~68%) in postmenopausal older women. [123] Risk factors identified for evisceration include hypoestrogenism, coital or obstetric trauma, previous vaginal surgery, presence of enterocele and ageing.…”

“…[12] Bowel evisceration is more commonly seen (~68%) in postmenopausal older women. [123] Risk factors identified for evisceration include hypoestrogenism, coital or obstetric trauma, previous vaginal surgery, presence of enterocele and ageing. [2456] Previous gynecological surgeries, mainly hysterectomy and enterocele repair, were accountable in majority (73%) of patients diagnosed with transvaginal bowel evisceration.…”

Spontaneous transvaginal small bowel evisceration: a case report

“…To date, only eighty-five cases of transvaginal small bowel evisceration have been documented worldwide 1,2. The primary risk groups for spontaneous vaginal evisceration include postmenopausal women,1,3–7 vaginal surgery cases,1,8–10 multiparae,11 and women of older age 2,3…”