ABSTRACT

BACKGROUND:

vaginal prolapse beyond the hymenal ring is occasionally seen in emergency services and apart from patient’s discomfort it doesn’t represent a surgical emergency. There are very few exception to this general rule: vaginal bowel evisceration is one of these exceptional condition.

CASE:

an 87 years old woman presented to our gynaecologic emergency service complaining of sudden lumping within her legs. A portion of viable small bowel was observed beyond the hymenal ring. An emergency abdominal approach was performed to reduce the bowel and reconstruct the vaginal cuff. The lady recovered uneventfully.

CONCLUSION:

women complaining of lumping discomfort have to be quickly examined to rule-out rare, but serious clinical conditions. No standard surgical approach is available, depending both on patient’s clinical local and general conditions and on surgeon skills with different techniques.