{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T03:11:19Z","timestamp":1785208279948,"version":"3.55.0"},"reference-count":11,"publisher":"MDPI AG","issue":"20","license":[{"start":{"date-parts":[[2025,10,13]],"date-time":"2025-10-13T00:00:00Z","timestamp":1760313600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Large bowel evisceration is a rare but morbid presentation that requires timely diagnosis and management. We present the case of a 67-year-old woman with a history of recurrent pelvic organ prolapse (notably with a history of prior hysterectomy, mesh-augmented sacrocolpopexy, and transvaginal Uphold\u2122 mesh placement). She presented with the subjective report of subacute worsening of her prolapse leading to urinary retention managed with a Foley catheter and an irreducible vaginal mass prompting evaluation. Clinical evaluation revealed bowel contents in the vagina with subsequent initiation of intravenous antibiotics, diagnostic laparoscopy converted to exploratory laparotomy, and resection of sigmoid and upper rectum with creation of left ileal end colostomy. Common risk factors for bowel evisceration include older age, postmenopausal status, history of pelvic surgery, and pessary use. In a patient with subacute worsening of prolapse and pain with the above risk factors, bowel evisceration should be considered and ruled out.<\/jats:p>","DOI":"10.3390\/jcm14207224","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T11:57:42Z","timestamp":1760529462000},"page":"7224","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A Rare Case of Transvaginal Sigmoid Evisceration in a Patient with Recurrent Pelvic Organ Prolapse"],"prefix":"10.3390","volume":"14","author":[{"given":"Belita","family":"Opene","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-7606-9316","authenticated-orcid":false,"given":"Erin","family":"Mowers","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Illinois Peoria College of Medicine, Peoria, IL 61605, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bestoun","family":"Ahmed","sequence":"additional","affiliation":[{"name":"Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA 15219, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary F.","family":"Ackenbom","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Michigan, Ann Arbor, MI 48109, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9734-0527","authenticated-orcid":false,"given":"Gnankang Sarah","family":"Napo\u00e9","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh Medical Center, Pittsburgh, PA 15213, USA"},{"name":"Magee-Womens Research Institute, Pittsburgh, PA 15213, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,10,13]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"972","DOI":"10.1097\/AOG.0000000000002852","article-title":"Vaginal Cuff Dehiscence and Evisceration: A Review","volume":"132","author":"Nezhat","year":"2018","journal-title":"Obstet. Gynecol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.ejogrb.2017.08.033","article-title":"Transvaginal repair of a misunderstood large bowel evisceration six months after vaginal hysterectomy","volume":"217","author":"Serati","year":"2017","journal-title":"Eur. J. Obstet. Gynecol. Reprod. Biol."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"e13670","DOI":"10.1097\/MD.0000000000013670","article-title":"Spontaneous vaginal cuff dehiscence and evisceration of multiple organs: A case report","volume":"97","author":"Zhou","year":"2018","journal-title":"Medicine"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"bcr2015211659","DOI":"10.1136\/bcr-2015-211659","article-title":"Spontaneous transvaginal evisceration: A case of recurrence","volume":"2016","author":"Ribeiro","year":"2016","journal-title":"BMJ Case Rep."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"e42","DOI":"10.1097\/SPV.0000000000000611","article-title":"Spontaneous Transvaginal Sigmoid Colon Evisceration and Sepsis From Complete Procidentia","volume":"24","author":"Schefter","year":"2018","journal-title":"Female Pelvic Med. Reconstr. Surg."},{"key":"ref_6","doi-asserted-by":"crossref","unstructured":"Arabadzhieva, E., Bulanov, D., Shavalov, Z., Yonkov, A., and Bonev, S. (2022). Spontaneous transvaginal intestinal evisceration in case of long-standing uterine prolapse. BMC Surg., 22.","DOI":"10.1186\/s12893-022-01615-x"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"631","DOI":"10.1007\/s11605-022-05535-2","article-title":"Transvaginal Evisceration","volume":"27","year":"2023","journal-title":"J. Gastrointest. Surgery."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1146\/annurev-publhealth-090519-093711","article-title":"Improving Access to Care: Telemedicine Across Medical Domains","volume":"42","author":"Barbosa","year":"2021","journal-title":"Annu. Rev. Public Health"},{"key":"ref_9","first-page":"e5947","article-title":"Small Bowel Evisceration through the Vaginal Vault: A Rare Surgical Emergency","volume":"11","author":"Rana","year":"2019","journal-title":"Cureus."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1023","DOI":"10.1111\/j.1471-0528.2004.00238.x","article-title":"Bowel evisceration through a ring pessary","volume":"111","author":"Sinha","year":"2004","journal-title":"BJOG Int. J. Obstet. Gynaecol."},{"key":"ref_11","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."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/20\/7224\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T12:19:49Z","timestamp":1760530789000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/14\/20\/7224"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,13]]},"references-count":11,"journal-issue":{"issue":"20","published-online":{"date-parts":[[2025,10]]}},"alternative-id":["jcm14207224"],"URL":"https:\/\/doi.org\/10.3390\/jcm14207224","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,13]]}}}