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A Case of vaginal cuff dehiscence with bowel evisceration after five years from hysterectomy

Author: 
Aydoğmus S., Tanrisever, G. G. G., Guven, C., Aydogmus H. and Kelekci, S.
Subject Area: 
Health Sciences
Abstract: 

To report a case of vaginal cuff dehiscence with bowel evisceration after total abdominal hysterectomy and discuss the risk factors, prevention and treatment alternatives of this unusual gynecologic emergency. A 79-year-old woman presented to the emergency clinic with vaginal cuff dehiscence with bowel evisceration, developed 5 years after total abdominal hysterectomy and bilateralsalping ooophorec to my for post menopausal adnexalmass. Approximately 130 cm bowel loops with mesentery from the cecum was torsioned and herniated from eviscerated vaginal cuff. The patient was taken to emergency laparoto my and was prepared in lowlitho to my position. The bowelloops were detorsioned, inducted into abdomen from median inferior incision and vaginal vault was sutured continuously with No.1 vicry l. Second line interrupted sutures of vaginal vault were made with 2.0 polydioxanone sutures. As a result VCD is a rare but serious complication that can be seen in any time after hysterectomy. Further investigations need for its prevention and ideal method of repair.

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