{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:08:17Z","timestamp":1753877297947,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T00:00:00Z","timestamp":1709856000000},"content-version":"vor","delay-in-days":7,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Vaginal evisceration is a rare surgical emergency in which intra-abdominal contents protrude through a dehisced vaginal cuff, which can lead to bowel ischemia and abdominal sepsis. This condition occurs due to vaginal cuff weakness secondary to prior surgeries or trauma. Recurrence after repair is rare and few cases have been documented. Here we present a young woman with multiple prior gynecologic surgeries who presented with eviscerated small bowel and omentum from her vagina five months following surgical treatment of a previous vaginal evisceration. Via a transabdominal surgical approach, general surgery and gynecology teams reduced the intra-abdominal contents, resected a pedicle of necrotic omentum, suture repaired the vaginal cuff, and placed a dehydrated placental allograft. This extremely rare case of recurrent vaginal evisceration demonstrates the importance of taking appropriate preventative surgical measures, maintaining a healthy level of suspicion for recurrence, knowing potential complications, and educating patients to prevent recurrent vaginal evisceration.<\/jats:p>","DOI":"10.1093\/jscr\/rjae127","type":"journal-article","created":{"date-parts":[[2024,3,8]],"date-time":"2024-03-08T08:19:46Z","timestamp":1709885986000},"source":"Crossref","is-referenced-by-count":0,"title":["Recurrent vaginal evisceration of abdominal contents with subsequent resection of necrotic omentum in a 35-year-old woman"],"prefix":"10.1093","volume":"2024","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5745-2882","authenticated-orcid":false,"given":"Crista E","family":"Horton","sequence":"first","affiliation":[{"name":"Broward Health Medical Center , Department of Surgery, 1600 S Andrews Ave, Fort Lauderdale, FL 33316, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Baghdadi","sequence":"additional","affiliation":[{"name":"University of Miami , Department of Surgery, 1611 NW 12 th Ave, East Tower 2169, Miami, FL 33136, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennine","family":"Putnick","sequence":"additional","affiliation":[{"name":"Broward Health Medical Center , Department of Surgery, 1600 S Andrews Ave, Fort Lauderdale, FL 33316, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trevor","family":"Gravely","sequence":"additional","affiliation":[{"name":"Broward Health Medical Center , Department of Surgery, 1600 S Andrews Ave, Fort Lauderdale, FL 33316, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"2024030807302254100_ref1","doi-asserted-by":"crossref","first-page":"204","DOI":"10.4103\/0974-2700.62107","article-title":"Transvaginal evisceration after laparoscopic adrenalectomy in neurofibromatosis","volume":"3","author":"Vettoretto","year":"2010","journal-title":"J Emergencies Trauma Shock"},{"key":"2024030807302254100_ref2","doi-asserted-by":"crossref","first-page":"e2013.00351","DOI":"10.4293\/JSLS.2013.00351","article-title":"Vaginal cuff dehiscence: risk factors and associated morbidities","volume":"19","author":"Weizman","year":"2015","journal-title":"JSLS\u00a0: J Soc Laparoendosc Surg"},{"key":"2024030807302254100_ref3","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1097\/AOG.0b013e318264f848","article-title":"Vaginal cuff dehiscence in a series of 12,398 hysterectomies","volume":"120","author":"Uccella","year":"2012","journal-title":"Obstetrics Gynecol"},{"key":"2024030807302254100_ref4","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1097\/01.AOG.0000115507.26155.45","article-title":"Characteristics of patients with vaginal rupture and evisceration","volume":"103","author":"Croak","year":"2004","journal-title":"Obstetrics Gynecol"},{"key":"2024030807302254100_ref5","doi-asserted-by":"crossref","first-page":"462","DOI":"10.1097\/00006254-200207000-00023","article-title":"Vaginal evisceration after hysterectomy: a literature review","volume":"57","author":"Ramirez","year":"2002","journal-title":"Obstet Gynecol Surv"},{"key":"2024030807302254100_ref6","doi-asserted-by":"crossref","first-page":"284","DOI":"10.1016\/j.ajog.2011.08.026","article-title":"Vaginal cuff dehiscence: risk factors and management","volume":"206","author":"Cronin","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"2024030807302254100_ref7","doi-asserted-by":"crossref","first-page":"549","DOI":"10.1016\/S0090-8258(03)00153-7","article-title":"Vaginal evisceration after hysterectomy: the repair by a laparoscopic and vaginal approach with a omental flap","volume":"89","author":"Narducci","year":"2003","journal-title":"Gynecol Oncol"},{"key":"2024030807302254100_ref8","doi-asserted-by":"crossref","first-page":"2495","DOI":"10.1002\/ccr3.1906","article-title":"Laparoscopic repair of the vaginal cuff dehiscence: dehiscence occurring after the first sexual intercourse after the laparoscopic modified radical hysterectomy","volume":"6","author":"Suzuki","year":"2018","journal-title":"Clin Case Rep"},{"key":"2024030807302254100_ref9","first-page":"rjac453","article-title":"Recurrent vaginal vault dehiscence and evisceration following total laparoscopic hysterectomy, successfully repaired with polypropylene mesh and sacrocolpopexy","volume":"2022","author":"Rathigashini","year":"2022","journal-title":"J Surg Case Reports"},{"key":"2024030807302254100_ref10","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2020-239540","article-title":"Recurrent vaginal cuff dehiscence after surgery for endometriosis: a technique for laparoscopic repair with an omental flap","volume":"14","author":"Frank","year":"2021","journal-title":"Bmj Case Reports"}],"container-title":["Journal of Surgical Case 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