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Spontaneous vaginal evisceration.

Abstract
Management of vaginal prolapse in the elderly lacks a uniform consensus and continues to remain challenging. The authors report a case of an elderly lady who presented with a spontaneous vaginal evisceration. She had a long-standing vaginal prolapse being controlled by a shelf pessary, which, in her case became displaced 2 weeks prior to admission. The patient underwent a laparotomy with an intent to replace the bowel back within the peritoneal cavity and repair the vault. During the pelvic floor repair, she sustained an inadvertent button-hole injury to the rectum, which was oversewn. She went on to develop a rectovaginal fistula requiring a de-functioning colostomy. The patient made good recovery subsequently.
AuthorsI Siddiqui, A Samee, C Hall, J Cooper, F O'Mahony
JournalBMJ case reports (BMJ Case Rep) Vol. 2011 (Mar 03 2011) ISSN: 1757-790X [Electronic] England
PMID22707628 (Publication Type: Case Reports, Journal Article)
Topics
  • Aged
  • Female
  • Humans
  • Uterine Prolapse (surgery)

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