{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T20:38:44Z","timestamp":1763584724191,"version":"3.44.0"},"reference-count":13,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,10,31]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Vaginal evisceration is a rare extrusion of pelvic and\/or abdominal viscera through a defect or rupture of the vaginal wall, and it is a true surgical emergency. With less than 100 cases reported in the literature, we present a case of an elderly woman in her 80s who was brought to a military treatment facility with vaginal evisceration after sustaining a ground-level fall. She was activated as a level 1 trauma by the emergency department, which led to efficient evaluation by the trauma team and subsequent emergent surgery to reduce the evisceration and repair the defect. She went on to recover and eventually received definitive surgery via colpocleisis following discharge. Here, vaginal evisceration will be discussed, including expert advice from a urogynaecologist to provide the reader with a fund of information and management strategies should this be encountered in practice.<\/jats:p>","DOI":"10.1136\/bcr-2023-259556","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T01:28:41Z","timestamp":1733275721000},"page":"e259556","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Severe vaginal evisceration at a military treatment facility"],"prefix":"10.1136","volume":"17","author":[{"given":"Corey S","family":"Keenan","sequence":"first","affiliation":[{"name":"General Surgery, William Beaumont Army Medical Center, Ft. Bliss, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6776-9963","authenticated-orcid":false,"given":"Yujin","family":"Kim","sequence":"additional","affiliation":[{"name":"Texas Tech University Health Sciences Center El Paso, Paul L Foster School of Medicine, El Paso, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christina","family":"Rogers","sequence":"additional","affiliation":[{"name":"Academic Urology and Urogynecology of Arizona, Litchfield Park, Arizona, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel L","family":"Grasso","sequence":"additional","affiliation":[{"name":"General Surgery, William Beaumont Army Medical Center, El Paso, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,3]]},"reference":[{"key":"2025082710113453000_17.12.e259556.1","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":"2025082710113453000_17.12.e259556.2","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjab343","article-title":"Small bowel evisceration from vagina","volume":"2021","author":"Wan Hassan","year":"2021","journal-title":"J Surg Case Rep"},{"unstructured":"Hye-Chun Hur MD , MPH F . Vaginal cuff dehiscence after total hysterectomy - uptodate. 2022.","key":"2025082710113453000_17.12.e259556.3"},{"key":"2025082710113453000_17.12.e259556.4","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1590\/S1807-59322010000500015","article-title":"Spontaneous transvaginal small bowel evisceration: a case report","volume":"65","author":"Parra","year":"2010","journal-title":"Clinics (Sao Paulo)"},{"key":"2025082710113453000_17.12.e259556.5","doi-asserted-by":"crossref","DOI":"10.1093\/jscr\/rjz317","article-title":"Vaginal evisceration of small bowel","volume":"2019","author":"Rogers","year":"2019","journal-title":"J Surg Case Rep"},{"doi-asserted-by":"publisher","key":"2025082710113453000_17.12.e259556.6","DOI":"10.1097\/01.AOG.0000115507.26155.45"},{"key":"2025082710113453000_17.12.e259556.7","doi-asserted-by":"crossref","DOI":"10.1186\/1754-9493-5-6","article-title":"Coitus induced vaginal evisceration in a premenopausal woman: a case report","volume":"5","author":"Gujar","year":"2011","journal-title":"Patient Saf Surg"},{"key":"2025082710113453000_17.12.e259556.8","doi-asserted-by":"crossref","DOI":"10.3389\/fsurg.2022.878760","article-title":"Vaginal Evisceration of Small Bowel With Extraperitoneal Ileal Resection of the Herniated Loops: A Case Report","volume":"9","author":"Missori","year":"2022","journal-title":"Front Surg"},{"key":"2025082710113453000_17.12.e259556.9","doi-asserted-by":"crossref","first-page":"308","DOI":"10.1016\/j.ejogrb.2011.05.013","article-title":"Vaginal cuff dehiscence after hysterectomy: a multicenter retrospective study","volume":"158","author":"Ceccaroni","year":"2011","journal-title":"Eur J Obstet Gynecol Reprod Biol"},{"key":"2025082710113453000_17.12.e259556.10","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1097\/AOG.0000000000000463","article-title":"Treatment of vaginal cuff evisceration","volume":"124","author":"Matthews","year":"2014","journal-title":"Obstet Gynecol"},{"key":"2025082710113453000_17.12.e259556.11","doi-asserted-by":"crossref","DOI":"10.1016\/j.ijscr.2022.107322","article-title":"Transvaginal small bowel evisceration: Case report and review of literature","volume":"96","author":"Alfraidi","year":"2022","journal-title":"Int J Surg Case Rep"},{"key":"2025082710113453000_17.12.e259556.12","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1186\/s12893-022-01615-x","article-title":"Spontaneous transvaginal intestinal evisceration in case of long-standing uterine prolapse","volume":"22","author":"Arabadzhieva","year":"2022","journal-title":"BMC Surg"},{"key":"2025082710113453000_17.12.e259556.13","doi-asserted-by":"crossref","first-page":"811","DOI":"10.1007\/s00192-013-2296-3","article-title":"Long-term follow-up after colpocleisis: regret, bowel, and bladder function","volume":"25","author":"Vij","year":"2014","journal-title":"Int Urogynecol J"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2023-259556","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T17:11:43Z","timestamp":1756314703000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2023-259556"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":13,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,3]]},"published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1136\/bcr-2023-259556"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2023-259556","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}