Journal article
Small bowel obstruction associated with post-hysterectomy vaginal vault prolapse
Obstetrics and gynecology (New York. 1953), Vol.102(3), pp.524-526
09/2003
DOI: 10.1016/S0029-7844(03)00160-1
PMID: 12962936
Abstract
Patients may present with post-hysterectomy vaginal vault prolapse in conjunction with small bowel obstruction. Prior pelvic surgery, malignancy, and radiation therapy may be associated with this presentation. An 83-year-old multiparous woman with a history of poorly differentiated endometrial adenocarcinoma was treated with radiation therapy, total abdominal hysterectomy, and salpingo-oophorectomy. Anterior exenteration was performed for a recurrence. Seventeen years after her last pelvic operation, she had small bowel obstruction that coincided with a worsening post-hysterectomy vaginal vault prolapse. Surgical management included a side-to-side ileoileostomy and excision with closure of the vaginal apex. Although pelvic organ prolapse primarily affects quality of life, clinicians should be alert for bowel obstruction occurring with post-hysterectomy vaginal vault prolapse.
Details
- Title: Subtitle
- Small bowel obstruction associated with post-hysterectomy vaginal vault prolapse
- Creators
- Michael E Carley - Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota 55905, USAJesus Gonzalez BosquetC Robert Stanhope
- Resource Type
- Journal article
- Publication Details
- Obstetrics and gynecology (New York. 1953), Vol.102(3), pp.524-526
- Publisher
- United States
- DOI
- 10.1016/S0029-7844(03)00160-1
- PMID
- 12962936
- ISSN
- 0029-7844
- eISSN
- 1873-233X
- Language
- English
- Date published
- 09/2003
- Academic Unit
- Obstetrics and Gynecology
- Record Identifier
- 9983931814702771
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