Vault Dehiscence – A Rare Gynecological Emergency

Abstract

Background: VCD is a rare complication following hysterectomy. Signicance of this condition lies with the potential of evisceration of abdominal and pelvic contents resulting in additional morbidity. Case presentation: A57 years old multiparous female presented to casuality with severe pain abdomen and vaginal discharge. With history of undergoing Total Laparoscopic Hysterectomy 6 months back. On examination small intestines were in vagina, with 2 cms defect in vault. Patient was stabilized and the defect was closed vaginally. Conclusion: VCD is a rare complication that should be kept in mind when patient presents with sudden onset lower abdominal or pelvic pain along with vaginal discharge following hysterectomy. In absence of any bowel pathology, vaginal closure is a safe treatment option.