Vaginal evisceration 3 years after abdominal hysterectomy and bilateral salpingo‐oophorectomy
Vaginal evisceration after a pelvic operation is a rare gynecological emergency. When intercourse is the cause, most cases occur within 1 year of surgery. A 53‐year‐old woman presented to the emergency room for vaginal evisceration half a day after the first postoperative occurrence of intercourse 3...
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| Veröffentlicht in: | The journal of obstetrics and gynaecology research 2012-12, Vol.38 (12), p.1385-1388 |
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| container_title | The journal of obstetrics and gynaecology research |
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| creator | Orito, Seiya Masuya, Norio Sakurabashi, Ayako Minoura, Shigeki |
| description | Vaginal evisceration after a pelvic operation is a rare gynecological emergency. When intercourse is the cause, most cases occur within 1 year of surgery. A 53‐year‐old woman presented to the emergency room for vaginal evisceration half a day after the first postoperative occurrence of intercourse 3 years after an abdominal hysterectomy and bilateral salpingo‐oophorectomy. In an emergency laparotomy, the protruding small bowel was replaced within the abdominal cavity. The avulsed vaginal cuff, which measured 6 cm in length and had atrophic but non‐necrotic margins, was sutured. Women who go for long periods without intercourse after a hysterectomy, especially post‐menopausal women, should be made aware of unrecognized vaginal atrophy that could, in some cases, lead to rupture and evisceration during the next occurrence of intercourse. |
| doi_str_mv | 10.1111/j.1447-0756.2012.01877.x |
| format | Article |
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When intercourse is the cause, most cases occur within 1 year of surgery. A 53‐year‐old woman presented to the emergency room for vaginal evisceration half a day after the first postoperative occurrence of intercourse 3 years after an abdominal hysterectomy and bilateral salpingo‐oophorectomy. In an emergency laparotomy, the protruding small bowel was replaced within the abdominal cavity. The avulsed vaginal cuff, which measured 6 cm in length and had atrophic but non‐necrotic margins, was sutured. Women who go for long periods without intercourse after a hysterectomy, especially post‐menopausal women, should be made aware of unrecognized vaginal atrophy that could, in some cases, lead to rupture and evisceration during the next occurrence of intercourse.</description><identifier>ISSN: 1341-8076</identifier><identifier>EISSN: 1447-0756</identifier><identifier>DOI: 10.1111/j.1447-0756.2012.01877.x</identifier><identifier>PMID: 22612271</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Coitus ; emergencies ; Female ; Hernia ; Herniorrhaphy ; Humans ; hysterectomy ; Hysterectomy - adverse effects ; intestine ; Intestine, Small ; Middle Aged ; Postmenopause ; postoperative complications ; rupture ; small ; spontaneous ; vagina ; Vagina - injuries ; Visceral Prolapse - etiology ; Visceral Prolapse - surgery</subject><ispartof>The journal of obstetrics and gynaecology research, 2012-12, Vol.38 (12), p.1385-1388</ispartof><rights>2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology</rights><rights>2012 The Authors. 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When intercourse is the cause, most cases occur within 1 year of surgery. A 53‐year‐old woman presented to the emergency room for vaginal evisceration half a day after the first postoperative occurrence of intercourse 3 years after an abdominal hysterectomy and bilateral salpingo‐oophorectomy. In an emergency laparotomy, the protruding small bowel was replaced within the abdominal cavity. The avulsed vaginal cuff, which measured 6 cm in length and had atrophic but non‐necrotic margins, was sutured. Women who go for long periods without intercourse after a hysterectomy, especially post‐menopausal women, should be made aware of unrecognized vaginal atrophy that could, in some cases, lead to rupture and evisceration during the next occurrence of intercourse.</description><subject>Coitus</subject><subject>emergencies</subject><subject>Female</subject><subject>Hernia</subject><subject>Herniorrhaphy</subject><subject>Humans</subject><subject>hysterectomy</subject><subject>Hysterectomy - adverse effects</subject><subject>intestine</subject><subject>Intestine, Small</subject><subject>Middle Aged</subject><subject>Postmenopause</subject><subject>postoperative complications</subject><subject>rupture</subject><subject>small</subject><subject>spontaneous</subject><subject>vagina</subject><subject>Vagina - injuries</subject><subject>Visceral Prolapse - etiology</subject><subject>Visceral Prolapse - surgery</subject><issn>1341-8076</issn><issn>1447-0756</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkLFOwzAQQC0EoqXwCygjS4IdO3EyMKAKCqhSF2C1Lq7dpkriEqfQbJX4Ab6xX4LTls548enu3dn3EPIIDog7t4uAMMZ9zKM4CDEJA0wSzoP1CeofC6cupoz4CeZxD11Yu8CY8JQk56gXhjEJQ076CN5hlldQeOozt1LV0OSm8uh2890qqK0HulG1B9nUlDts3lqXULIxZetBNfWyvACXcSULxTKvZma7-TFmOTcH6hKdaSisujrcA_T2-PA6fPLHk9Hz8H7sS5pS7lMWaRWmyZRArBKNM5loGjP3UwYR40mWAolwKplDJJGcaIgwUK2jNGapjOgA3eznLmvzsVK2EWW3UVFApczKCrcw5imNeIcme1TWxtpaabGs8xLqVhAsOsFiITqPovMoOsFiJ1isXev14ZVVVqrpsfHPqAPu9sBXXqj234PFy2TURfQX4zWMyQ</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Orito, Seiya</creator><creator>Masuya, Norio</creator><creator>Sakurabashi, Ayako</creator><creator>Minoura, Shigeki</creator><general>Blackwell Publishing Asia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201212</creationdate><title>Vaginal evisceration 3 years after abdominal hysterectomy and bilateral salpingo‐oophorectomy</title><author>Orito, Seiya ; Masuya, Norio ; Sakurabashi, Ayako ; Minoura, Shigeki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3937-345fe298d1a6e8f0bc8f3642264a5478b9a1509c498dc1c71fa50a3ff59649c53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Coitus</topic><topic>emergencies</topic><topic>Female</topic><topic>Hernia</topic><topic>Herniorrhaphy</topic><topic>Humans</topic><topic>hysterectomy</topic><topic>Hysterectomy - adverse effects</topic><topic>intestine</topic><topic>Intestine, Small</topic><topic>Middle Aged</topic><topic>Postmenopause</topic><topic>postoperative complications</topic><topic>rupture</topic><topic>small</topic><topic>spontaneous</topic><topic>vagina</topic><topic>Vagina - injuries</topic><topic>Visceral Prolapse - etiology</topic><topic>Visceral Prolapse - surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Orito, Seiya</creatorcontrib><creatorcontrib>Masuya, Norio</creatorcontrib><creatorcontrib>Sakurabashi, Ayako</creatorcontrib><creatorcontrib>Minoura, Shigeki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of obstetrics and gynaecology research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Orito, Seiya</au><au>Masuya, Norio</au><au>Sakurabashi, Ayako</au><au>Minoura, Shigeki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vaginal evisceration 3 years after abdominal hysterectomy and bilateral salpingo‐oophorectomy</atitle><jtitle>The journal of obstetrics and gynaecology research</jtitle><addtitle>J Obstet Gynaecol Res</addtitle><date>2012-12</date><risdate>2012</risdate><volume>38</volume><issue>12</issue><spage>1385</spage><epage>1388</epage><pages>1385-1388</pages><issn>1341-8076</issn><eissn>1447-0756</eissn><abstract>Vaginal evisceration after a pelvic operation is a rare gynecological emergency. 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| ispartof | The journal of obstetrics and gynaecology research, 2012-12, Vol.38 (12), p.1385-1388 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Coitus emergencies Female Hernia Herniorrhaphy Humans hysterectomy Hysterectomy - adverse effects intestine Intestine, Small Middle Aged Postmenopause postoperative complications rupture small spontaneous vagina Vagina - injuries Visceral Prolapse - etiology Visceral Prolapse - surgery |
| title | Vaginal evisceration 3 years after abdominal hysterectomy and bilateral salpingo‐oophorectomy |
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