{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,30]],"date-time":"2026-06-30T00:17:47Z","timestamp":1782778667323,"version":"3.54.5"},"reference-count":12,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,2,11]]},"abstract":"<jats:p>Vaginal evisceration can be defined as a defect in the vaginal wall resulting in prolapse of the intraperitoneal contents. This is a rare complication of hysterectomy, but may result in severe morbidity. We report the case of a postmenopausal woman with transvaginal evisceration of the sigmoid colon 1\u2005year after an abdominal hysterectomy. An exploratory laparotomy was undertaken to reduce the prolapsed sigmoid colon through a combined vaginal-abdominal route. Repair of the defect of the vaginal vault was made using an absorbable running suture. Two years later, the patient presented at the emergency department with a transvaginal evisceration of the omentum. An exclusively vaginal approach was then chosen to repair the smaller vaginal defect and vaginal cuff was closed using non-absorbable sutures. As two different surgical approaches were used in this patient, a discussion of the different treatment options and also of the principles of prevention of vaginal cuff dehiscence is provided.<\/jats:p>","DOI":"10.1136\/bcr-2015-211659","type":"journal-article","created":{"date-parts":[[2016,2,26]],"date-time":"2016-02-26T09:48:03Z","timestamp":1456480083000},"page":"bcr2015211659","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["Spontaneous transvaginal evisceration: a case of recurrence"],"prefix":"10.1136","volume":"2016","author":[{"given":"Susana Perdig\u00e3o","family":"Ribeiro","sequence":"first","affiliation":[{"name":"Department of General Surgery, Hospital do Esp\u00edrito Santo, \u00c9vora EPE Portugal, \u00c9vora, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Artur Canha","family":"Silva","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital do Esp\u00edrito Santo, \u00c9vora EPE Portugal, \u00c9vora, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o","family":"Maciel","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital do Esp\u00edrito Santo, \u00c9vora EPE Portugal, \u00c9vora, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana Sofia","family":"Antunes","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Hospital do Esp\u00edrito Santo, \u00c9vora EPE Portugal, \u00c9vora, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2016,2,26]]},"reference":[{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.1","first-page":"957","article-title":"Rupture tramatique du vagin; issue des intestines a l'extieur; application du grand forceps au detroit superieur; gurison","volume":"2","author":"Hyernaux","year":"1864","journal-title":"Bull Mem Acad Med Belg"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000115507.26155.45"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.3","first-page":"225","article-title":"Vaginal evisceration: presentation and management in postmenopausal women","volume":"183","author":"Kowalski","year":"1996","journal-title":"J Am Coll Surg"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.4","doi-asserted-by":"publisher","DOI":"10.1097\/00006254-200207000-00023"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.5","doi-asserted-by":"crossref","first-page":"e10","DOI":"10.1016\/j.ajog.2011.10.861","article-title":"Vaginal cuff dehiscence after laparoscopic and robotic hysterectomy: is endoscopic colporraphy a waste of time?","volume":"206","author":"Uccella","year":"2012","journal-title":"Am J Obstet Gynecol"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.6","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejogrb.2005.08.009"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2006.11.005"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.8","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2011.03.024"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.9","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1948.tb07432.x"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.10","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(94)90306-9"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.11","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1016\/0735-6757(90)90199-A","article-title":"Vaginal evisceration","volume":"8","author":"Guttman","year":"1990","journal-title":"Am J Emerg Med"},{"key":"2025082703174674000_2016.feb26_1.bcr2015211659.12","doi-asserted-by":"publisher","DOI":"10.1007\/s00192-008-0699-3"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2015-211659","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:17:55Z","timestamp":1756289875000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2015-211659"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,2,26]]},"references-count":12,"alternative-id":["10.1136\/bcr-2015-211659"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2015-211659","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,2,26]]}}}