BACKGROUND:

Vaginal vault dehiscence is a rare complication of hysterectomy, secondary to risk factors that alter healing. Its incidence and prevalence are low and when it occurs it is a surgical emergency.

OBJECTIVE:

To report the clinical case of a patient with transvaginal intestinal evisceration and to review the diagnostic and therapeutic procedure and compare it with that reported in the literature.

CLINICAL CASE:

A 67-year-old female patient with a four-hour clinical picture of abdominal pain associated with vaginal mass sensation. History of previous oncologic surgery. Physical examination revealed intestinal evisceration without necrosis. During the surgical procedure a three centimeter defect of the vaginal vault was evidenced. The repair was performed by abdominal and vaginal access, without complications. Postoperatively she presented with multifactorial oxygen desaturation, was treated, monitored and discharged from the hospital. She attended postoperative controls in which she was found with adequate clinical evolution.

CONCLUSION:

Transvaginal evisceration is rare, when it occurs it needs to be diagnosed and treated immediately, to counteract associated complications. In this case, the patient received multidisciplinary care with adequate postoperative evolution. Due to the low incidence, there is insufficient evidence to recommend an ideal access route for surgical treatment.