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Spontaneous Transvaginal Sigmoid Colon Evisceration and Sepsis From Complete Procidentia

Schefter, Alexandra M., MD*; Fischer, John, MD*; Erickson, Britt K., MD*

Female Pelvic Medicine & Reconstructive Surgery: November/December 2018 - Volume 24 - Issue 6 - p e42–e45
doi: 10.1097/SPV.0000000000000611
Case Reports

Background Transvaginal bowel evisceration is an exceptionally rare event. Most reported cases are of small bowel evisceration in postmenopausal women who have undergone hysterectomy.

Case Here, we report an isolated case of complete procidentia and spontaneous sigmoid colon evisceration leading to sepsis in an 89-year-old woman with no surgical history.

Conclusions We highlight the risk factors, clinical presentation, and treatment options for this unique multidisciplinary emergency.

From the *Department of Obstetrics, Gynecology and Women's Health, University of Minnesota, Minneapolis, MN.

Correspondence: Alexandra M. Schefter, MD, Department of Obstetrics, Gynecology and Women's Health, University of Minnesota, Mayo Mail Code 395, 420 Delaware St SE, Minneapolis, MN 55455. E-mail:

Research support from the Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health under award number K12HD055887 was given to B.K.E. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health. The authors have declared they have no conflicts of interest.

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