Abstract

SANDOVAL-PAREDES, José; SILVA OLIVERA, Arnaldo  and  SANDOVAL PAZ, Cindy. Vaginal rupture and evisceration related to contact ulcer due to prolapsed uterus: case report. Rev. peru. ginecol. obstet. [online]. 2021, vol.67, n.4, 00012. ISSN 2304-5132.  http://dx.doi.org/10.31403/rpgo.v67i2372.

Vaginal evisceration occurs in 0.36% to 0.96% of postoperative hysterectomy patients. The most frequent cause is vaginal vault dehiscence, with a higher risk in laparoscopic hysterectomy than in open approach. We describe the case of a 63-yearold woman with a history of total prolapse of the uterus, with no surgical history, who was admitted to the emergency room for vaginal evisceration. The rupture occurred in the posterior vaginal wall, where a friction ulcer had formed. Laparotomy was performed to reduce the bowel and repair the tear in the vaginal wall. Correction of the prolapse was done eight months later with satisfactory results. The type of reparative surgery depends on the type and viability of the herniated viscus and can be performed vaginally, abdominal or combined, by laparotomy or laparoscopy.

Keywords : Pelvic evisceration; Pelvic organ prolapse; Operative wound dehiscence.

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