Evisceración transvaginal espontánea en paciente anciana con prolapso genital

Abstract

We report the case of a patient with vaginal evisceration and no history of vaginal surgery.We performed a laparotomy with bowel replacement, correction of the defect and vaginal hysterectomy.In postmenopausal women, transvaginal evisceration is associated with increased abdominal pressure, vaginal ulceration and straining at stool. In 73% of patients, there is some type of prior vaginal surgery.The most common symptoms are pain, bleeding or sensation of a mass at the introitus. The most commonly involved viscera is the terminal ileum and the most common site of herniation is the posterior fornix of the vagina.Prevention is aimed at avoiding repeat interventions, pelvic floor disorders, hypoestrogenism, and increased abdominal pressure.