Vaginal cuff dehiscence and evisceration 11 years after a radical hysterectomy: A case report

•Vaginal cuff dehiscence (VCD) and evisceration (VCDE) is a rare but rather serious complication of any type of hysterectomy.•The overall incidence was ranged betwenn 0% and 7,5%.•Historically, laparotomy was recommended for VCD repair.•In our case we choosed to add a Polyglactine mesh and in the limit of our review it’s the only case reported. Vaginal cuff dehiscence (VCD) and evisceration (VCDE) are rare but rather serious complications of hysterectomy procedures. We aimed to report a case of VCDE happening eleven years after the initial surgery and review a treatment protocol of this rare complication. A 68 years old Tunisian female patient In 2004, the patient underwent concomitant chemoradiation followed by total abdominal radical hysterectomy for a squamous cell carcinoma of the cervix. Eleven years later, after an abdominal thrust due to a strong cough the patient had a protrusion of the two small bowels. Patient was surgically treated following a combined approach. The follow-up did not show any sign of relapse. VCDE is a rare complication of hysterectomy that carries a lot of mobimortality if not treated on time. Surgery without delay is usually a guarantee for a god outcome.