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]