Avtor/Urednik | Smrkolj, Špela; Fabjan-Vodušek, Vesna; Lukanovič, Adolf; Slabe, Nina; Košir, Renata | |
Naslov | Vaginalna evisceracija tankega črevesa po totalni abdominalni histerektomiji | |
Prevedeni naslov | Vaginal small bowel evisceration following total abdominal hysterectomy | |
Tip | članek | |
Vir | Zdrav Vestn | |
Vol. in št. | Letnik 79, št. 4 | |
Leto izdaje | 2010 | |
Obseg | str. 362-5 | |
Jezik | slo | |
Abstrakt | Background: Evisceration following hysterotomy is so rare that no incedence rate can be established. It ussualy occurs in postmenopausal or multiparous women, after one or more vaginal operations. Most often the precipitating event for small bowel evisceration is sexual intercourse in premenopausal womwn, and increased intraabdominal pressure in postmenopausal woman. Case report: We report a case of transvaginal evisceration after abdominal hysterectomy, which occured twice in the same woman, this being the first caseof its kind reported in the literature so far. Conclusions: Vaginal evisceration represents a life-threatening surgical emergency which must be promptly treated and the surgical approach may be either abdominal or vaginal or a combination of the two. Management is directed toward resecting and comprised bowel loops repairing the vaginal defect and correcting the contributing defect in the pelvic floor. | |
Izvleček | Izhodišča: Evisceracija tankega črevesa po histerektomiji je izredno redek pojav, zato njena incidenca ni znana. Pogosteje se pojavi pri pomenopavznih ženskah in mnogorodnicah po eni ali več operacijah nožnice. Najpogostejši vzrok evisceracije tankega črevesa pri ženskah pred menopavzo je spolni odnos, pri pomenopavznih ženskah pa povišan tlak znotraj trebušne votline. Prikaz primera: Prikazan je primer transvaginalne evisceracije po abdominalni histerektomiji, ki se je pri isti bolnici pojavila dvakrat zaporedoma. V literaturi do sedaj še ni zaslediti takšne objave. Zaključki: Vaginalna evisceracija je življenje ogrožajoče stanje, ki ga je potrebno takoj ustrezno kirurško zdraviti. Kirurški pristop je skozi nožnico, trebušno votlino ali s kombinacijo obeh. Zdravljenje je usmerjeno k resekciji ujete črevesne vijuge, popravljanju nožnične okvare ter defekta medeničnega vratu | |
Deskriptorji | HYSTERECTOMY, VAGINAL VAGINA INTESTINE, SMALL MIDDLE AGE |