Conclusion:
Vaginal cuff dehiscence can be life‐threatening therefore an early
diagnosis can reduce morbidity and mortality. Sexual intercourse before
complete healing of the vaginal cuff after hysterectomy is the primary
precipitating event in younger patients, whereas evisceration occurs as
a spontaneous event in older patients. Due to its rarity, transvaginal
evisceration has no surgical gold standard approach, however we should
keep in mind that suspicion of bowel necrosis impose explorative
laparotomy. Finally, more delicate procedures and good post-hysterectomy
care must be applied to minimize the risk of vaginal cuff dehiscence.