{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:03:48Z","timestamp":1756425828772,"version":"3.44.0"},"reference-count":18,"publisher":"BMJ","issue":"12","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2024,11,16]]},"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:p>Spontaneous transvaginal small bowel evisceration, without recent trauma or surgery, is extremely rare. Complications include bowel obstruction, perforation, gangrene, septicaemia and death, requiring urgent surgical intervention. We report a case of a woman in her late 60s, who presented with 70\u201375\u2009cm of small intestine eviscerated through the vagina, alongside a long history of uterine and rectal prolapse. Due to oedema in the intestine and mesentery, a vaginal reduction attempt failed. An emergency lower midline laparotomy was performed with a gynaecologist present. The eviscerated ileum was reduced, viability confirmed and repairs were made to the posterior vaginal vault defect and the peritoneal rent in the Douglas pouch. A Thiersch procedure was performed for the prolapsed rectum. Definitive surgery for the prolapsed uterus and rectum was deferred due to low condition. She recovered and was discharged on the 10th postoperative day but died from a myocardial infarction 3\u2009months later.<\/jats:p>","DOI":"10.1136\/bcr-2024-263177","type":"journal-article","created":{"date-parts":[[2024,12,15]],"date-time":"2024-12-15T20:35:27Z","timestamp":1734294927000},"page":"e263177","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Spontaneous transvaginal evisceration of small intestine in a case of long-standing uterine and rectal prolapse"],"prefix":"10.1136","volume":"17","author":[{"given":"Prasoon","family":"Pattanaik","sequence":"first","affiliation":[{"name":"Department of Surgery, Sriram Chandra Bhanja Medical College and Hospital, Cuttack, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6759-119X","authenticated-orcid":false,"given":"Sushila Kumar","family":"Pattanaik","sequence":"additional","affiliation":[{"name":"Department of Surgery, Post Graduate Institute of Medical Education and Research and Capital Hospital, Bhubaneswar, Odisha, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,12,15]]},"reference":[{"key":"2025082803311530000_17.12.e263177.1","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"},{"key":"2025082803311530000_17.12.e263177.2","doi-asserted-by":"crossref","first-page":"156","DOI":"10.4314\/gmj.v55i2.10","article-title":"Small bowel evisceration in a perforated uterine prolapse","volume":"55","author":"Y. Amakpa","year":"2021","journal-title":"gmj"},{"key":"2025082803311530000_17.12.e263177.3","article-title":"Small Bowel Evisceration through the Vaginal Vault: A Rare Surgical Emergency","volume":"11","author":"Rana","year":"2019","journal-title":"Cureus"},{"key":"2025082803311530000_17.12.e263177.4","first-page":"1","article-title":"Evisceration of small intestine through the vagina: a rare surgical cause of acute intestinal obstruction","volume":"8","author":"Bendjaballah","year":"2020","journal-title":"J Univ Surg"},{"key":"2025082803311530000_17.12.e263177.5","article-title":"Transvaginal evisceration of the small bowel a rare and potentially lethal event, a case report","volume":"65","author":"Negrete","year":"2021","journal-title":"Ann Med Surg (Lond)"},{"key":"2025082803311530000_17.12.e263177.6","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1111\/ans.14290","article-title":"Transvaginal evisceration of small bowel","volume":"89","author":"Toh","year":"2019","journal-title":"ANZ J Surg"},{"key":"2025082803311530000_17.12.e263177.7","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":"2025082803311530000_17.12.e263177.8","article-title":"Transvaginal Evisceration of the Small Bowel More Than 15 Years After Abdominal Hysterectomy and Vaginal Surgery","volume":"13","author":"Chan","year":"2021","journal-title":"Cureus"},{"key":"2025082803311530000_17.12.e263177.9","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":"2025082803311530000_17.12.e263177.10","article-title":"Spontaneous Transvaginal Small Bowel Evisceration With Uterine Procidentia: A Report of a Rare Case","volume":"14","author":"Pinto","year":"2022","journal-title":"Cureus"},{"key":"2025082803311530000_17.12.e263177.11","article-title":"Small Bowel Obstruction Caused by Internal Hernia through a Peritoneal Defect of the Pouch of Douglas: Report of a Case and Review of the Literature","volume":"2017","author":"Choi","year":"2017","journal-title":"Case Rep Surg"},{"key":"2025082803311530000_17.12.e263177.12","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":"2025082803311530000_17.12.e263177.13","doi-asserted-by":"publisher","DOI":"10.1097\/01.AOG.0000115507.26155.45"},{"key":"2025082803311530000_17.12.e263177.14","article-title":"Vaginal Evisceration After Abdominal Hysterectomy: A Case Report","volume":"14","author":"Tsakona","year":"2022","journal-title":"Cureus"},{"key":"2025082803311530000_17.12.e263177.15","doi-asserted-by":"crossref","DOI":"10.3390\/medicina60091388","article-title":"Spontaneous Transvaginal Intestinal Evisceration Two Years after Vaginal Hysterectomy, a Case Report","volume":"60","author":"Omejc","year":"2024","journal-title":"Medicina (Kaunas)"},{"key":"2025082803311530000_17.12.e263177.16","article-title":"Small Bowel Evisceration after Spontaneous Vaginal Cuff Rupture","volume":"11","author":"McMaster","year":"2019","journal-title":"Cureus"},{"key":"2025082803311530000_17.12.e263177.17","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":"2025082803311530000_17.12.e263177.18","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"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2024-263177","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T10:31:26Z","timestamp":1756377086000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2024-263177"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,12]]},"references-count":18,"journal-issue":{"issue":"12","published-online":{"date-parts":[[2024,12,15]]},"published-print":{"date-parts":[[2024,12]]}},"alternative-id":["10.1136\/bcr-2024-263177"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2024-263177","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2024,12]]}}}