{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T14:37:24Z","timestamp":1761316644301,"version":"build-2065373602"},"reference-count":11,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":24,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,9,30]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Neglected uterovaginal prolapse (UVP) can lead to life-threatening complications. We report a 45-year-old para 5 woman with a 10-year history of UVP who presented after 2 days of a protruding vaginal mass, bilious vomiting, fever, and abdominal pain following an attempt to cut the prolapsed tissue with a blade. On examination, she was tachycardic, hypotensive, actively bleeding from the prolapse, and showed signs of small-bowel evisceration. Emergency laparotomy identified a 4-cm anterior uterine defect with 60\u00a0cm gangrenous ileum herniated ~15\u00a0cm from the ileocecal junction; the necrotic segment was resected and an ileostomy created, and definitive repair of the prolapse was performed. The patient recovered and was discharged on postoperative day seven. This case shows that neglected UVP may prompt desperate, dangerous self-interventions and can cause transvaginal bowel evisceration and strangulation; early recognition, prompt multidisciplinary surgical care, and attention to psychosocial barriers to care are essential to prevent such outcomes.<\/jats:p>","DOI":"10.1093\/jscr\/rjaf852","type":"journal-article","created":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T12:04:24Z","timestamp":1760097864000},"source":"Crossref","is-referenced-by-count":0,"title":["Transvaginal bowel evisceration and gangrenous small-bowel obstruction after self-amputation of neglected uterovaginal prolapse: a case report and review of literature"],"prefix":"10.1093","volume":"2025","author":[{"given":"Dereje Gashaw","family":"Andargie","sequence":"first","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Sciences, Bahir Dar University , Peda (Kebele 08), PO Box 79, Bahir Dar, Amhara Region ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4647-111X","authenticated-orcid":false,"given":"Biruk T","family":"Mengistie","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Health Sciences, Addis Ababa University , Entoto Road, PO Box 9086, Addis Ababa ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chernet T","family":"Mengistie","sequence":"additional","affiliation":[{"name":"School of Medicine, College of Health Sciences, Addis Ababa University , Entoto Road, PO Box 9086, Addis Ababa ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yonas T","family":"Habtemariam","sequence":"additional","affiliation":[{"name":"Department of Surgery, College of Medicine and Health Sciences, Bahir Dar University , Peda (Kebele 08), PO Box 79, Bahir Dar, Amhara Region ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eyaya Misgan","family":"Asres","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Rwanda , KG 11 Avenue (Gasabo\/Remera area), PO Box 3286, Kigali ,","place":["Rwanda"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William","family":"Rutagengwa","sequence":"additional","affiliation":[{"name":"Partners In Health (Inshuti Mu Buzima), Kirehe Program, Kirehe District Hospital , PO Box 45, Kibungo, Kirehe District, Eastern Province ,","place":["Rwanda"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Temesgen","family":"Tantu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Rwanda , KG 11 Avenue (Gasabo\/Remera area), PO Box 3286, Kigali ,","place":["Rwanda"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amanuel Sisay","family":"Endeshaw","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, College of Medicine and Health Sciences, Bahir Dar University , Peda (Kebele 08), PO Box 79, Bahir Dar, Amhara Region ,","place":["Ethiopia"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"2025102410322146400_ref1","doi-asserted-by":"publisher","first-page":"524","DOI":"10.18502\/ijph.v53i3.15134","article-title":"Worldwide prevalence of pelvic organ prolapse: a systematic review and meta-analysis","volume":"53","author":"Hadizadeh-Talasaz","year":"2024","journal-title":"Iran J Public Health"},{"key":"2025102410322146400_ref2","doi-asserted-by":"publisher","first-page":"398","DOI":"10.1186\/s12905-024-03238-1","article-title":"Quality of life and its associated factors among women with pelvic organ 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