URGENT SURGICAL MANAGEMENT OF ENTEROCELE WITH HIGH RISK OF BOWEL ISCHEMIA: A CASE REPORT

Nino Khotivari, Besik Japaridze

Abstract


 Abstract

Purpose: To describe the urgent surgical management of an enterocele associated with a high risk of bowel ischemia.

Methods: We present the case of a 43-year-old woman who presented to the emergency department of the First University Clinic at TSMU with severe perineal pain that began in the morning after sexual intercourse. A diagnosis of vaginal cuff insufficiency with enterocele was established, and urgent surgical intervention was performed. The repair was carried out via an abdominal approach.

Results: The surgical intervention resolved the patient’s clinical condition and prevented potential small bowel ischemia.

Conclusion: Advanced enterocele with risk of bowel obstruction or ischemia is a rare but potentially life-threatening condition. Prompt recognition and immediate surgical management are crucial to prevent vaginal rupture, bowel necrosis, and systemic complications.


Keywords


enterocele, hysterectomy, vaginal cuff dehiscence, bowel obstruction, hernia

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References


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DOI: http://dx.doi.org/10.52155/ijpsat.v56.1.7938

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