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Spontaneous Transvaginal Sigmoid Colon Evisceration and Sepsis From Complete Procidentia

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LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/SPV.0000000000000611

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pelvic organ prolapse; complete procidentia; urogynecologic surgery

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  1. Eunice Kennedy Shriver National Institute of Child Health and Human Development of the National Institutes of Health [K12HD055887]

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Background: Transvaginal bowel evisceration is an exceptionally rare event. Most reported cases are of small bowel evisceration in postmenopausal women who have undergone hysterectomy. Case: Here, we report an isolated case of complete procidentia and spontaneous sigmoid colon evisceration leading to sepsis in an 89-year-old woman with no surgical history. Conclusions: We highlight the risk factors, clinical presentation, and treatment options for this unique multidisciplinary emergency.

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