{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T08:08:24Z","timestamp":1753862904943,"version":"3.41.2"},"reference-count":18,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2024,5,31]],"date-time":"2024-05-31T00:00:00Z","timestamp":1717113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2024,6]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Vaginal cuff dehiscence post\u2010hysterectomy is rare yet significant. Early recognition and prompt surgical intervention are crucial to prevent complications like bowel infarction. Consider second\u2010look laparotomy in cases of uncertain bowel viability.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Vaginal cuff dehiscence (VCD) is a rare but potentially life\u2010threatening complication following a hysterectomy characterized by the separation of the vaginal vault. This condition, which may result in vaginal evisceration (VE), presents a significant risk of pelvic contents, particularly the small bowel, protruding into the vagina. Early diagnosis and prompt surgical intervention are paramount to prevent severe complications, including bowel infarction, obstruction, and peritonitis. Although VCD and VE are rare, they require urgent surgical management to avoid adverse outcomes. We reported a case of small bowel evisceration in a woman with a history of total abdominal hysterectomy 6\u2009months ago. VCD and VE are very rare but life\u2010threatening complications of hysterectomy. Discussing the symptoms with patients who have multiple risk factors is crucial to avoid severe sequels following hysterectomy. Based on our experience, performing a second\u2010look laparotomy is a reliable approach to ensure the viability of the intestinal loop. However, it will likely increase the risk of infection.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.8910","type":"journal-article","created":{"date-parts":[[2024,6,1]],"date-time":"2024-06-01T03:45:26Z","timestamp":1717213526000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Small bowel evisceration after abdominal hysterectomy with open vaginal cuff technique: A case report"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1873-6900","authenticated-orcid":false,"given":"Seyed Ramin","family":"Dabiri","sequence":"first","affiliation":[{"name":"Department of Surgery, Faculty of Medicine Mashhad University of Medical Sciences  Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8989-974X","authenticated-orcid":false,"given":"Ali","family":"Mehri","sequence":"additional","affiliation":[{"name":"Endoscopic and Minimally Invasive Surgery Research Center Mashhad University of Medical Sciences  Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Farzaneh","family":"Mollanorouzi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine Mashhad University of Medical Sciences  Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Davod","family":"Alavi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Faculty of Medicine Mashhad University of Medical Sciences  Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abbas","family":"Abdollahi","sequence":"additional","affiliation":[{"name":"Endoscopic and Minimally Invasive Surgery Research Center Mashhad University of Medical Sciences  Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad Taghi","family":"Rajabi\u00a0Mashhadi","sequence":"additional","affiliation":[{"name":"Endoscopic and Minimally Invasive Surgery Research Center Mashhad University of Medical Sciences  Mashhad Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,31]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2013.00351"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000002852"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.1576\/toag.13.4.231.27688"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijscr.2016.06.004"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-004-1214-0"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2010.021"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12134187"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijgo.2013.04.004"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0020-7292(98)00116-7"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.08.026"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/01443615.2022.2141619"},{"key":"e_1_2_13_13_1","article-title":"Spontaneous transvaginal small bowel evisceration secondary to vaginal cuff dehiscence after abdominal hysterectomy: a case report","volume":"79","author":"Mohamed Salad N","year":"2022","journal-title":"Ann Med Surg (Lond)"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-200207000-00003"},{"key":"e_1_2_13_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/jpm13060890"},{"key":"e_1_2_13_16_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-009-4140-4"},{"key":"e_1_2_13_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2020.01.042"},{"key":"e_1_2_13_18_1","doi-asserted-by":"crossref","DOI":"10.1177\/2050313X231222211","article-title":"\"it just wasn't right down there\": surgical treatment of small bowel evisceration after hysterectomy with indocyanine green angiography, a case report","volume":"12","author":"Spann JE","year":"2024","journal-title":"SAGE Open Med Case 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