Transvaginal Management of Vaginal Cuff Dehiscence with Bowel Evisceration following Delayed Diagnosis
One of the most serious complications that can arise from hysterectomy is vaginal cuff dehiscence with subsequent bowel evisceration. Treatment via vaginal approach has been utilized in early cases of vaginal cuff dehiscence where the need for bowel resection is less likely. Our case examines the tr...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2017-01-01
|
| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2017/4985382 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832558158154825728 |
|---|---|
| author | Samantha Bleull Hunter Smith Robert Shapiro |
| author_facet | Samantha Bleull Hunter Smith Robert Shapiro |
| author_sort | Samantha Bleull |
| collection | DOAJ |
| description | One of the most serious complications that can arise from hysterectomy is vaginal cuff dehiscence with subsequent bowel evisceration. Treatment via vaginal approach has been utilized in early cases of vaginal cuff dehiscence where the need for bowel resection is less likely. Our case examines the treatment of vaginal cuff dehiscence through a vaginal approach approximately 36 hours after apparent vaginal dehiscence with subsequent bowel evisceration. In this case, we chose a vaginal approach even in the setting of possible bowel obstruction and a significant leukocytosis. We utilized CT scan findings to help guide our surgical approach. Although the subjective appearance of the bowel protruding through the vaginal cuff was reassuring, this played little role in guiding our decision with regard to surgical approach. Vaginal cuff dehiscence with evisceration can be managed successfully via a vaginal approach even with prolonged exposure of the bowel to vaginal flora. CT scan should be utilized to evaluate bowel integrity when considering a vaginal dehiscence repair. A high index of suspicion is warranted as these cases can present up to many years after hysterectomy. |
| format | Article |
| id | doaj-art-226fc38ffac043589cbc9102b7c8ebf8 |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-226fc38ffac043589cbc9102b7c8ebf82025-02-03T01:33:04ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922017-01-01201710.1155/2017/49853824985382Transvaginal Management of Vaginal Cuff Dehiscence with Bowel Evisceration following Delayed DiagnosisSamantha Bleull0Hunter Smith1Robert Shapiro2West Virginia University Department of Obstetrics/Gynecology, Morgantown, WV, USAWest Virginia University Department of Obstetrics/Gynecology, Morgantown, WV, USAWest Virginia University Department of Obstetrics/Gynecology, Morgantown, WV, USAOne of the most serious complications that can arise from hysterectomy is vaginal cuff dehiscence with subsequent bowel evisceration. Treatment via vaginal approach has been utilized in early cases of vaginal cuff dehiscence where the need for bowel resection is less likely. Our case examines the treatment of vaginal cuff dehiscence through a vaginal approach approximately 36 hours after apparent vaginal dehiscence with subsequent bowel evisceration. In this case, we chose a vaginal approach even in the setting of possible bowel obstruction and a significant leukocytosis. We utilized CT scan findings to help guide our surgical approach. Although the subjective appearance of the bowel protruding through the vaginal cuff was reassuring, this played little role in guiding our decision with regard to surgical approach. Vaginal cuff dehiscence with evisceration can be managed successfully via a vaginal approach even with prolonged exposure of the bowel to vaginal flora. CT scan should be utilized to evaluate bowel integrity when considering a vaginal dehiscence repair. A high index of suspicion is warranted as these cases can present up to many years after hysterectomy.http://dx.doi.org/10.1155/2017/4985382 |
| spellingShingle | Samantha Bleull Hunter Smith Robert Shapiro Transvaginal Management of Vaginal Cuff Dehiscence with Bowel Evisceration following Delayed Diagnosis Case Reports in Obstetrics and Gynecology |
| title | Transvaginal Management of Vaginal Cuff Dehiscence with Bowel Evisceration following Delayed Diagnosis |
| title_full | Transvaginal Management of Vaginal Cuff Dehiscence with Bowel Evisceration following Delayed Diagnosis |
| title_fullStr | Transvaginal Management of Vaginal Cuff Dehiscence with Bowel Evisceration following Delayed Diagnosis |
| title_full_unstemmed | Transvaginal Management of Vaginal Cuff Dehiscence with Bowel Evisceration following Delayed Diagnosis |
| title_short | Transvaginal Management of Vaginal Cuff Dehiscence with Bowel Evisceration following Delayed Diagnosis |
| title_sort | transvaginal management of vaginal cuff dehiscence with bowel evisceration following delayed diagnosis |
| url | http://dx.doi.org/10.1155/2017/4985382 |
| work_keys_str_mv | AT samanthableull transvaginalmanagementofvaginalcuffdehiscencewithboweleviscerationfollowingdelayeddiagnosis AT huntersmith transvaginalmanagementofvaginalcuffdehiscencewithboweleviscerationfollowingdelayeddiagnosis AT robertshapiro transvaginalmanagementofvaginalcuffdehiscencewithboweleviscerationfollowingdelayeddiagnosis |