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.