Vaginal evisceration related to genital prolapse in premenopausal woman
ABSTRACT Background Vaginal evisceration is a rare problem, usually related to a previous hysterectomy. We report a case of spontaneous rupture of the cul-de-sac in a premenopausal woman under treatment with glucocorticoids to treat Systemic Lupus Erythematosus (SLE), with uterine prolapse that oc...
Main Authors: | , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Sociedade Brasileira de Urologia
|
Series: | International Brazilian Journal of Urology |
Subjects: | |
Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382017000400766&lng=en&tlng=en |
id |
doaj-3b0fb6c816fb4e31812d8acc8309dee5 |
---|---|
record_format |
Article |
spelling |
doaj-3b0fb6c816fb4e31812d8acc8309dee52020-11-24T23:18:08ZengSociedade Brasileira de UrologiaInternational Brazilian Journal of Urology1677-611943476676910.1590/s1677-5538.ibju.2016.0249S1677-55382017000400766Vaginal evisceration related to genital prolapse in premenopausal womanLucas SchreinerThais Guimarães dos SantosChristiana Campani NygaardDaniele Sparemberger OliveiraABSTRACT Background Vaginal evisceration is a rare problem, usually related to a previous hysterectomy. We report a case of spontaneous rupture of the cul-de-sac in a premenopausal woman under treatment with glucocorticoids to treat Systemic Lupus Erythematosus (SLE), with uterine prolapse that occurred during evacuation. Case Report A 40-year-old woman with SLE, using glucocorticoids, with uterine prolapse grade 4 (POP-Q), awaiting surgery presented at the emergency room with vaginal bleeding after Valsalva during defaction. Uterine prolapse associated with vaginal evisceration was identified. Under vaginal examination, we confirmed the bowel viability and performed a vaginal hysterectomy and sacrospinous fixation. Case hypothesis This case draws attention to the extreme risk of untreated uterine prolapse, as well as the importance of multidisciplinary care of patients with vaginal prolapse and chronic diseases.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382017000400766&lng=en&tlng=enProlapseVaginaLupus Erythematosus, Systemic |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Lucas Schreiner Thais Guimarães dos Santos Christiana Campani Nygaard Daniele Sparemberger Oliveira |
spellingShingle |
Lucas Schreiner Thais Guimarães dos Santos Christiana Campani Nygaard Daniele Sparemberger Oliveira Vaginal evisceration related to genital prolapse in premenopausal woman International Brazilian Journal of Urology Prolapse Vagina Lupus Erythematosus, Systemic |
author_facet |
Lucas Schreiner Thais Guimarães dos Santos Christiana Campani Nygaard Daniele Sparemberger Oliveira |
author_sort |
Lucas Schreiner |
title |
Vaginal evisceration related to genital prolapse in premenopausal woman |
title_short |
Vaginal evisceration related to genital prolapse in premenopausal woman |
title_full |
Vaginal evisceration related to genital prolapse in premenopausal woman |
title_fullStr |
Vaginal evisceration related to genital prolapse in premenopausal woman |
title_full_unstemmed |
Vaginal evisceration related to genital prolapse in premenopausal woman |
title_sort |
vaginal evisceration related to genital prolapse in premenopausal woman |
publisher |
Sociedade Brasileira de Urologia |
series |
International Brazilian Journal of Urology |
issn |
1677-6119 |
description |
ABSTRACT Background Vaginal evisceration is a rare problem, usually related to a previous hysterectomy. We report a case of spontaneous rupture of the cul-de-sac in a premenopausal woman under treatment with glucocorticoids to treat Systemic Lupus Erythematosus (SLE), with uterine prolapse that occurred during evacuation. Case Report A 40-year-old woman with SLE, using glucocorticoids, with uterine prolapse grade 4 (POP-Q), awaiting surgery presented at the emergency room with vaginal bleeding after Valsalva during defaction. Uterine prolapse associated with vaginal evisceration was identified. Under vaginal examination, we confirmed the bowel viability and performed a vaginal hysterectomy and sacrospinous fixation. Case hypothesis This case draws attention to the extreme risk of untreated uterine prolapse, as well as the importance of multidisciplinary care of patients with vaginal prolapse and chronic diseases. |
topic |
Prolapse Vagina Lupus Erythematosus, Systemic |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382017000400766&lng=en&tlng=en |
work_keys_str_mv |
AT lucasschreiner vaginaleviscerationrelatedtogenitalprolapseinpremenopausalwoman AT thaisguimaraesdossantos vaginaleviscerationrelatedtogenitalprolapseinpremenopausalwoman AT christianacampaninygaard vaginaleviscerationrelatedtogenitalprolapseinpremenopausalwoman AT danielesparembergeroliveira vaginaleviscerationrelatedtogenitalprolapseinpremenopausalwoman |
_version_ |
1725581650245451776 |