A case of transvaginal small bowel evisceration in a pelvic organ prolapsed

Abstract

A case of transvaginal small bowel evisceration in a pelvic organ prolapse

A 67-year-old woman with stage 4 pelvic organ prolapse presented with evisceration of her bowel through her vagina. She had complained of vaginal pain before the evisceration. A 3 cm longitudinal laceration on the posterior vaginal wall was repaired the following day under general anesthesia. Vaginal hysterectomy was performed 10 days later and the vaginal wall epithelium was sutured following the LeFort method. However, the sutures in the vaginal wall broke apart 3 months after surgery, but the epithelium gradually recovered within 1 year.