Vaginal’naya eventratsiya kishechnika posle laparoskopicheskoi gisterektomii [Vaginal bowel eventration after laparoscopic hysterectomy].

Abstract

Eventration of the intestine through a defect in the wall of the vaginal stump after hysterectomy is an extremely rare complication and requires emergency surgical care. A strangulated loop of intestine with necrosis can cause the development of peritonitis, sepsis and death. In recent years, an increase in the number of such complications has been reported after surgery performed using the robotic method and laparoscopic approach compared to vaginal and laparotomy. The purpose of our observation is to present a rare case of long-term complication of laparoscopic hysterectomy in a patient with endometrial cancer, to indicate possible risk factors and a method of correction. In a young non-smoking patient without obvious risk factors, three months after removal of the uterus, an eventration of a loop of the small intestine through the vagina occurred, the trigger of which was sexual intercourse. As a result of early treatment, there were no signs of intestinal necrosis and peritonitis, which made it possible to reduce and eliminate the defect through vaginal access.