# Vaginal Cuff Dehiscence Following Remote Hysterectomy: An Unusual Case of Bowel Evisceration

## TL;DR

A rare case of vaginal cuff dehiscence leading to bowel evisceration is reported in a patient decades after a hysterectomy.

## Contribution

This case highlights the long-term risk of vaginal cuff dehiscence, even many years post-hysterectomy.

## Key findings

- A 79-year-old woman experienced bowel evisceration due to vaginal cuff dehiscence decades after a hysterectomy.
- Successful treatment involved reduction of bowel contents and transvaginal cuff repair.
- The case emphasizes the need for long-term monitoring following hysterectomy.

## Abstract

Hysterectomy is one of the most common gynecologic procedures performed worldwide. Vaginal cuff dehiscence with resultant bowel evisceration, while rare, is one of the most serious complications of the procedure. We present the case of a 79-year-old female with vaginal cuff dehiscence several decades after hysterectomy. The patient had no significant antecedent symptoms until she experienced bowel evisceration during Valsalva. She underwent a successful reduction of bowel contents with limited resection and transvaginal cuff repair. This case highlights the risk of vaginal cuff dehiscence even decades following the procedure.