Transvaginal small bowell evisceration

Objectives: We describe an uncommon postoperative complication, vaginal evisceration of the intestine, and review the predisposing factors, diagnosis and definitive corrective surgery, the surgical approaches and possible surgical techniques, based on the available scientific literature. Material and methods: We report the case of a 46-year-old patient with the aforementioned complication, initial evaluation, surgical management and monitoring. We performed a laparotomy to assess the viability of the herniated intestinal loops, repair the defect in the vaginal vault and perform a surgical correction in one procedure. We used a colposacropexy mesh with good short-and medium-term results. Conclusions: Vaginal evisceration is a rare complication that requires rapid assessment and urgent surgical treatment due to the high morbidity and mortality with which it is associated. (C) 2016 Elsevier Espana, S.L.U. All rights reserved.