As vaginal evisceration following VCD can cause peritonitis, sepsis, and necrosis of the intestinal tract, prompt surgical and medical intervention is required (3).
(2) Another study revealed that vaginal evisceration complicates 35%-67% of VCD cases.
Spellacy, "Vaginal evisceration
after hysterectomy in premenopausal women," Obstetrics & Gynecology, vol.
Caption: Figure 3: Vaginal evisceration
of the small bowels.
Vaginal evisceration after hysterectomy: a literature review.
Spontaneous vaginal evisceration and intra-abdominal small bowel strangulation: a report of the first case and review of the literature.
(1-3) A recent review of reports of cuff dehiscence and vaginal evisceration
over 30 years found ranges of cuff dehiscence of 0.14% to 0.27% for all types of hysterectomy, and 1% to 4.1% after laparoscopic or robotic hysterectomy.
The first report of vaginal evisceration was described by Hyernaux in 1864, as disruption of the anterior wall of the proximal vagina, resulting in prolapse of the abdominal contents (1).
Vaginal evisceration can be a rare complication of hysterectomy which requires urgent surgical attention.
Finally, in a recent case report, an 82-year-old woman experienced vaginal evisceration
during initial fitting, causing displacement of the pessary into the abdomen, with resultant emergency colpocleisis (Rubin, Jones, & Harmanli, 2010).