 |
Case Report
Delayed presentation of vaginal cuff dehiscence and evisceration of bowel after laparoscopic hysterectomy and adjuvant radiation therapy
1 Resident PGY2, HCA East Florida Division, Obstetrics and Gynecology, HCA Northwest Medical Center, Margate, Florida, United States
Address correspondence to:
Maral Darya
7253 NW 108th Way, Parkland, Florida, Zip code 33076,
United States
Message to Corresponding Author
Article ID: 100221Z08MD2026
Access full text article on other devices
Access PDF of article on other devices
How to cite this article
Darya M, Budhwani S, Grekos V, Ortiz-Gonzalez K. Delayed presentation of vaginal cuff dehiscence and evisceration of bowel after laparoscopic hysterectomy and adjuvant radiation therapy. J Case Rep Images Obstet Gynecol 2026;12(1):1–4.ABSTRACT
Introduction: Total hysterectomy (TH) is one of the most commonly performed gynecologic procedures, with complications including genitourinary or gastrointestinal injury, bleeding, infection, and rarely vaginal cuff dehiscence (VCD). Vaginal cuff dehiscence is an uncommon but potentially life-threatening complication, particularly associated with laparoscopic hysterectomy and may present with bowel evisceration requiring urgent intervention.
Case Report: We present the case of a woman in her 50s with a history of radical hysterectomy and adjuvant radiation for cervical cancer, who presented with acute abdominal pain and small bowel evisceration through the vagina. Emergent laparotomy was performed with small bowel resection and anastomosis, followed by transvaginal repair of the vaginal cuff.
Conclusion: This case highlights the importance of early recognition and individualized management based on patient status and intraoperative findings, with careful assessment of bowel viability prior to cuff closure. In addition to surgical outcomes, psychological consequences following such events can be significant, emphasizing the need for early counseling.
Keywords: Bowel evisceration, Emergency laparotomy, Laparoscopic surgery, Total hysterectomy, Vaginal cuff dehiscence
SUPPORTING INFORMATION
Acknowledgments
Artificial intelligence (AI) used in the article: OpenAI’s GPT-5 was used to assist with language refinement during manuscript preparation. The tool was used to improve grammar, sentence structure, and flow in the abstract, discussion, and conclusion sections. The remaining sections were developed entirely by the authors.
Author ContributionsMaral Darya - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Simran Budhwani - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Valentina Grekos - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Karla Ortiz-Gonzalez - Substantial contributions to conception and design, Revising it critically for important intellectual content, Final approval of the version to be published
Guaranter of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2026 Maral Darya et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
