Vaginal evisceration related to genital prolapse in premenopausal woman
| Autor: | Daniele Sparemberger Oliveira, Christiana Campani Nygaard, Thaís Guimarães dos Santos, Lucas Schreiner |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Adult
Spontaneous rupture medicine.medical_specialty Urology medicine.medical_treatment Vaginal Diseases Visceral Prolapse Hysterectomy lcsh:RC870-923 03 medical and health sciences 0302 clinical medicine Challenging Clinical Cases Prolapse medicine Humans Lupus Erythematosus Systemic Vaginal bleeding Sex organ 030212 general & internal medicine Gynecology 030219 obstetrics & reproductive medicine business.industry Uterine prolapse lcsh:Diseases of the genitourinary system. Urology medicine.disease Vaginal evisceration medicine.anatomical_structure Premenopause Vagina Female Emergencies medicine.symptom business Extreme risk |
| Zdroj: | International Brazilian Journal of Urology, Vol 43, Iss 4, Pp 766-769 International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology |
| ISSN: | 1677-5538 |
| DOI: | 10.1590/s1677-5538.ibju.2016.0249 |
| Popis: | BACKGROUND Vaginal evisceration is a rare problem, usually related to a previous hysterectomy. We report a case of spontaneous rupture of the cul-de-sac in a premenopausal woman under treatment with glucocorticoids to treat Systemic Lupus Erythematosus (SLE), with uterine prolapse that occurred during evacuation. Main findings-Case Report: A 40-year-old woman with SLE, using glucocorticoids, with uterine prolapse grade 4 (POP-Q), awaiting surgery presented at the emergency room with vaginal bleeding after Valsalva during defection. Uterine prolapse associated with vaginal evisceration was identified. Under vaginal examination, we confirmed the bowel viability and performed a vaginal hysterectomy and sacrospinous fixation. Case hypothesis: This case draws attention to the extreme risk of untreated uterine prolapse, as well as the importance of multidisciplinary care of patients with vaginal prolapse and chronic diseases. |
| Databáze: | OpenAIRE |
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