NYMC Faculty Publications
Vaginal Cuff Dehiscence with Adnexal Mass Evisceration After Abdominal Hysterectomy
Author Type(s)
Faculty
DOI
10.1016/j.ijscr.2013.02.012
Journal Title
International Journal of Surgery Case Reports
First Page
518
Last Page
520
Document Type
Article
Publication Date
1-1-2013
Department
Obstetrics and Gynecology
Disciplines
Medicine and Health Sciences
Abstract
INTRODUCTION: More commonly, a vaginal cuff dehiscence is a complication of robotic or laparoscopic hysterectomy while dehiscence is less commonly observed following total abdominal or vaginal hysterectomies.
PRESENTATION OF CASE: Three years after an uncomplicated total abdominal hysterectomy for fibroid uterus, a 50 year old female with a known, large adnexal mass presented with vaginal cuff dehiscence and prolapse of the adnexal mass through the vaginal cuff.
DISCUSSION: We discuss surgical risk factors including route of hysterectomy, method of colpotomy and vaginal cuff closure as contributing factors for vaginal cuff dehiscence in our patient.
CONCLUSION: Any large pelvic mass that may potentially exert pressure necrosis on the vaginal cuff, even remote from hysterectomy may result a vaginal cuff dehiscence. Emergent surgical intervention is warranted.
Recommended Citation
Nguyen, M. T., Anyikam, A. L., & Paolucci, M. (2013). Vaginal Cuff Dehiscence with Adnexal Mass Evisceration After Abdominal Hysterectomy. International Journal of Surgery Case Reports, 4 (5), 518-520. https://doi.org/10.1016/j.ijscr.2013.02.012
