INTRODUCTION:
Transvaginal evisceration relates the extrusion of intra-abdominal
viscera through the vaginal vault. It is a rare event, and a potentially
serious complication of pelvic surgery [1]. Relatively few cases
have been published in the medical literature, and the exact incidence
is difficult to determine. The small intestine is the most commonly
eviscerated organ [2]. It is typically diagnosed by clinical history
and pelvic exam, but its low incidence can make the diagnosis overlooked
in the emergency department, and radiologic features may help the
diagnosis in selected patients. [3] It requires a prompt surgical
and medical intervention to guarantee an optimal medical care [4].
Due to its rarity, transvaginal evisceration has no surgical gold
standard approach. The surgical approach depends on the viability of the
eviscerated bowel and the presence of peritoneal signs. [5]