A Case of Vaginal Cuff Dehiscence after Total Vaginal Hysterectomy

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  • 膣式子宮全摘術後に2度の膣断端離開により小腸脱出をきたした症例

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<p>We report a case of vaginal cuff dehiscence developing after total vaginal hysterectomy. The patient was a 71─year─old woman who had been treated by total vaginal hysterectomy for prolapse of the uterus. Nine months later, she presented with vaginal dehiscence, and emergency laparotomy was performed. We reduced the eviscerated small intestine into the peritoneal cavity and closed the dehiscent vaginal cuff. Six months later, the patient presented again with recurrent vaginal dehiscence, which necessitated another emergency laparotomy. We speculated that the recurrent vaginal cuff dehiscence in this patient may be due to the steroid and methotrexate treatment that she was receiving. Vaginal cuff dehiscence is rare complication, however, patients undergoing vaginal hysterectomy should be carefully followed up, especially those receiving steroid therapy.</p>

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Details 詳細情報について

  • CRID
    1390001204736702464
  • NII Article ID
    130005290576
  • DOI
    10.11231/jaem.36.1149
  • ISSN
    18824781
    13402242
  • Text Lang
    ja
  • Data Source
    • JaLC
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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