{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:21:42Z","timestamp":1700439702764},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T00:00:00Z","timestamp":1695081600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T00:00:00Z","timestamp":1695081600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Women's Health"],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Transvaginal small bowel evisceration is a life-threatening condition, which is usually seen in postmenopausal women with a history of gynecological surgery. Cervical loop electrosurgical excision procedure (LEEP) is widely used in the treatment of cervical intraepithelial neoplasia (CIN), and its surgical risk and postoperative complications are relatively low because of the simplicity of the operation. However, improper operation may result in perforation of the uterus, which can cause prolapse of the small bowel into the vagina. We here reported an extremely rare case of a young woman with transvaginal small bowel evisceration after cervical LEEP, achieving a good prognosis after the prolapsed bowel was reduced. The patient underwent cervical LEEP as a treatment for CIN III, but the LEEP resulted in a laceration of about 4.0\u00a0cm \u00d7 3.5\u00a0cm on the peritoneum of the uterovesical peritoneal reflection and a laceration of about 2.0\u00a0cm \u00d7 1.5\u00a0cm on the anterior wall of the cervical canal. Through the two lacerations, the pelvic cavity is connected to the vagina and the small intestine prolapsed into the vagina. Due to aggressive surgical intervention, the patient achieved a favorable prognosis after successfully reducing the prolapsed bowel.<\/jats:p>","DOI":"10.1186\/s12905-023-02650-3","type":"journal-article","created":{"date-parts":[[2023,9,19]],"date-time":"2023-09-19T17:01:59Z","timestamp":1695142919000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Transvaginal small bowel evisceration after cervical loop electrosurgical excision procedure: a case report"],"prefix":"10.1186","volume":"23","author":[{"given":"Kui","family":"Yao","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chuan","family":"Xie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,9,19]]},"reference":[{"issue":"7","key":"2650_CR1","doi-asserted-by":"publisher","first-page":"462","DOI":"10.1097\/00006254-200207000-00023","volume":"57","author":"PT Ramirez","year":"2002","unstructured":"Ramirez PT, Klemer DP. Vaginal evisceration after hysterectomy: a literature review. Obstet Gynecol Surv. 2002;57(7):462\u20137.","journal-title":"Obstet Gynecol Surv"},{"issue":"3","key":"2650_CR2","doi-asserted-by":"publisher","first-page":"266","DOI":"10.1016\/j.ijgo.2015.07.026","volume":"132","author":"N Santesso","year":"2016","unstructured":"Santesso N, et al. Systematic reviews and meta-analyses of benefits and harms of cryotherapy, LEEP, and cold knife conization to treat cervical intraepithelial neoplasia. Int J Gynaecol Obstet. 2016;132(3):266\u201371.","journal-title":"Int J Gynaecol Obstet"},{"issue":"1","key":"2650_CR3","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1186\/s12893-022-01615-x","volume":"22","author":"E Arabadzhieva","year":"2022","unstructured":"Arabadzhieva E, et al. Spontaneous transvaginal intestinal evisceration in case of long-standing uterine prolapse. BMC Surg. 2022;22(1):157.","journal-title":"BMC Surg"},{"issue":"5 Pt 2","key":"2650_CR4","first-page":"1058","volume":"101","author":"B Feiner","year":"2003","unstructured":"Feiner B, et al. Vaginal evisceration long after vaginal hysterectomy. Obstet Gynecol. 2003;101(5 Pt 2):1058\u20139.","journal-title":"Obstet Gynecol"},{"key":"2650_CR5","doi-asserted-by":"crossref","unstructured":"Hecken JM, Rezniczek GA, Tempfer CB. Innovative diagnostic and therapeutic interventions in cervical dysplasia: a systematic review of controlled trials. Cancers (Basel), 2022. 14(11).","DOI":"10.3390\/cancers14112670"},{"key":"2650_CR6","doi-asserted-by":"crossref","unstructured":"Hermoza Ar\u00e1mbulo R, Madrazo Z, Gonz\u00e1lez. Transvaginal Evisceration J Gastrointest Surg, 2022: p. 1\u20132.","DOI":"10.1007\/s11605-022-05535-2"},{"issue":"6","key":"2650_CR7","doi-asserted-by":"publisher","first-page":"689","DOI":"10.1016\/j.jmig.2008.07.006","volume":"15","author":"MS Kyung","year":"2008","unstructured":"Kyung MS, et al. Laparoscopic management of complications in gynecologic laparoscopic surgery: a 5-year experience in a single center. J Minim Invasive Gynecol. 2008;15(6):689\u201394.","journal-title":"J Minim Invasive Gynecol"}],"container-title":["BMC Women's Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-023-02650-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12905-023-02650-3\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12905-023-02650-3.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,19]],"date-time":"2023-11-19T12:05:03Z","timestamp":1700395503000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcwomenshealth.biomedcentral.com\/articles\/10.1186\/s12905-023-02650-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,19]]},"references-count":7,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2023,12]]}},"alternative-id":["2650"],"URL":"https:\/\/doi.org\/10.1186\/s12905-023-02650-3","relation":{},"ISSN":["1472-6874"],"issn-type":[{"value":"1472-6874","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,19]]},"assertion":[{"value":"1 January 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"11 September 2023","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 September 2023","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was reviewed and approved by the ethics committee and the data inspectorate of West China Second University Hospital of Sichuan University. All methods were carried out in accordance with relevant guidelines and regulations. All experimental protocols were approved by the ethics committee and the data inspectorate of West China Second University Hospital of Sichuan University. Informed consent was obtained from all subjects and\/or their legal guardian(s). The number of ethical approval is NO. (260).","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Ethical approval and patient consent were acquired and recorded in the patient medical record with witness signature, and this consent was informed and specify that consent was taken for publication of identifying information\/images in an online open-access publication.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"499"}}