{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T21:59:47Z","timestamp":1778277587176,"version":"3.51.4"},"reference-count":13,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T00:00:00Z","timestamp":1702339200000},"content-version":"unspecified","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2023,11,28]]},"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>A woman in her 90s with chronic uterine prolapse presented with abdominal pain and a vaginal mass. The patient had generalised peritonitis and a strangulated bowel obstruction originating from a perforated posterior vagina. We performed partial intestinal resection and a total hysterectomy, including excision of the perforation of the vaginal site and the adnexa. The patient died on postoperative day 8 due to worsening systemic sepsis. The pathological diagnosis revealed an invasive carcinoma in the perforated area of the vagina. Obstetric factors are the most frequent cause of female genital tract perforation, and chronic uterine prolapse is associated with this condition; however, vaginal cancer has never been reported as a cause of perforation. Therefore, close collaboration in gynaecology should be considered to investigate whether vaginal perforation and uterine prolapse are related to cancer.<\/jats:p>","DOI":"10.1136\/bcr-2023-255815","type":"journal-article","created":{"date-parts":[[2023,12,12]],"date-time":"2023-12-12T12:42:11Z","timestamp":1702384931000},"page":"e255815","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Strangulated bowel obstruction caused by vaginal perforation due to vaginal cancer in a patient with chronic uterine prolapse"],"prefix":"10.1136","volume":"16","author":[{"given":"Shota","family":"Fukai","sequence":"first","affiliation":[{"name":"Department of Urology, Jichi Medical University Saitama Medical Center, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shimpei","family":"Maeda","sequence":"additional","affiliation":[{"name":"Jichi Ika University Saitama Medical Center, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenro","family":"Chikazawa","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, Saitama-shi, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiki","family":"Rikiyama","sequence":"additional","affiliation":[{"name":"Jichi Ika University Saitama Medical Center, Saitama, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2023,12,12]]},"reference":[{"key":"2025082622481068000_16.12.e255815.1","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph18189746","article-title":"Postcoital vaginal perforation and evisceration in women with no prior pelvic surgery: laparoscopic management and systematic review of the literature","volume":"18","author":"Stabile","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2025082622481068000_16.12.e255815.2","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000115507.26155.45"},{"key":"2025082622481068000_16.12.e255815.3","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.ajog.2022.04.046","article-title":"Risk factors for primary pelvic organ prolapse and prolapse recurrence: an updated systematic review and meta-analysis","volume":"227","author":"Schulten","year":"2022","journal-title":"Am J Obstet Gynecol"},{"key":"2025082622481068000_16.12.e255815.4","doi-asserted-by":"crossref","first-page":"159","DOI":"10.1016\/j.ejogrb.2021.06.037","article-title":"Prevalence of sarcopenia in older women with pelvic floor dysfunction","volume":"263","author":"Silva","year":"2021","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082622481068000_16.12.e255815.5","doi-asserted-by":"crossref","first-page":"572","DOI":"10.1111\/jsm.12754","article-title":"Consensual intercourse resulting in an extensive rectovaginal tear: an extremely rare occurrence","volume":"12","author":"Symeonidis","year":"2015","journal-title":"J Sex Med"},{"key":"2025082622481068000_16.12.e255815.6","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1016\/j.ygyno.2020.11.025","article-title":"Vaginal necrosis: a rare late toxicity after radiation therapy","volume":"160","author":"Jia","year":"2021","journal-title":"Gynecol Oncol"},{"key":"2025082622481068000_16.12.e255815.7","doi-asserted-by":"crossref","first-page":"57","DOI":"10.14740\/jcs393","article-title":"Vaginal rupture and evisceration in a patient with chronic rectocele","volume":"9","author":"Cole","year":"2019","journal-title":"J Curr Surg"},{"key":"2025082622481068000_16.12.e255815.8","first-page":"D09","article-title":"Transvaginal small bowel evisceration in known case of uterine prolapse due to trauma","volume":"9","author":"Gheewala","year":"2015","journal-title":"J Clin Diagn Res"},{"key":"2025082622481068000_16.12.e255815.9","doi-asserted-by":"crossref","DOI":"10.1186\/s12905-014-0141-6","article-title":"Post-coital posterior fornix perforation with vaginal evisceration","volume":"14","author":"Ernest","year":"2014","journal-title":"BMC Womens Health"},{"key":"2025082622481068000_16.12.e255815.10","doi-asserted-by":"crossref","unstructured":"Adams TS , Cuello MA . 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