J Med Assoc Thai 2010; 93 (2):245

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Vaginal Vault Rupture with Evisceration of Small Intestine during Coitus
Nopdonrattakoon L Mail

In 2009, a 41-year-old Thai woman who had undergone abdominal hysterectomy 4 months earlier
was admitted because of bleeding per vagina without pain during coitus for 1 day. She had undergone pelvic
examination that disclosed small intestine in vagina and scanty bleeding of vaginal vault. Closure of the
rupture of the vaginal vault during laparotomy was completed, resulting in satisfactory condition.
Vaginal vault rupture is a rare condition. Prompt surgical and medical intervention are required to
prevent complications. Incidence, risk factors, and management for rupture of the vaginal vault that occurs
after total abdominal hysterectomy are discussed.

Keywords: Vaginal rupture, Hysterectomy, Evisceration

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