Occult Vaginal Evisceration: A Case Report |
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Authors: | Fady Shehata Olga Bougie Kevin Baker Hisham Khalil |
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Institution: | 1. Division of Urogynecology and Pelvic Reconstructive Surgery, Department of Obstetrics and Gynecology, The Ottawa Hospital, Ottawa, ON;2. Department of Obstetrics and Gynaecology, Queens University, Kingston, ON |
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Abstract: | BackgroundVaginal evisceration is a rare gynaecologic emergency that necessitates surgical intervention. It may manifest with obvious vaginal rupture, or it may be occult, specifically in patients with chronic pelvic organ prolapse.CaseA 66-year-old woman with a history of bowel cancer and irradiation presented with occult vaginal evisceration. This was discovered during a routine follow-up appointment. It was repaired in two layers with xenograft derived from porcine intestinal mucosa (Surgisis, Cook Medical, Bloomington, IN) interposition and a concomitant colpocleisis. Long-term complications of the procedure included recurrent prolapse, but her vaginal vault evisceration did not recur.ConclusionIn patients with chronic pelvic organ prolapse, especially in those with additional risk factors for poor tissue strength, the possibility of vaginal vault evisceration or dehiscence should be considered. These patients would benefit from close follow-up. |
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Keywords: | Corresponding author: Dr Fady Shehata Division of Urogynecology and Pelvic Reconstructive Surgery Department of Obstetrics and Gynecology The Ottawa Hospital Ottawa ON Vaginal vault evisceration dehiscence pelvic organ prolapse |
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