Vaginal evisceration related to genital prolapse in premenopausal woman

Detalhes bibliográficos
Autor(a) principal: Schreiner,Lucas
Data de Publicação: 2017
Outros Autores: Santos,Thais Guimarães dos, Nygaard,Christiana Campani, Oliveira,Daniele Sparemberger
Tipo de documento: Relatório
Idioma: eng
Título da fonte: International Braz J Urol (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382017000400766
Resumo: ABSTRACT 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. 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 defaction. 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.
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spelling Vaginal evisceration related to genital prolapse in premenopausal womanProlapseVaginaLupus Erythematosus, SystemicABSTRACT 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. 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 defaction. 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.Sociedade Brasileira de Urologia2017-08-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382017000400766International braz j urol v.43 n.4 2017reponame:International Braz J Urol (Online)instname:Sociedade Brasileira de Urologia (SBU)instacron:SBU10.1590/s1677-5538.ibju.2016.0249info:eu-repo/semantics/openAccessSchreiner,LucasSantos,Thais Guimarães dosNygaard,Christiana CampaniOliveira,Daniele Sparembergereng2017-08-17T00:00:00Zoai:scielo:S1677-55382017000400766Revistahttp://www.brazjurol.com.br/ONGhttps://old.scielo.br/oai/scielo-oai.php||brazjurol@brazjurol.com.br1677-61191677-5538opendoar:2017-08-17T00:00International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)false
dc.title.none.fl_str_mv Vaginal evisceration related to genital prolapse in premenopausal woman
title Vaginal evisceration related to genital prolapse in premenopausal woman
spellingShingle Vaginal evisceration related to genital prolapse in premenopausal woman
Schreiner,Lucas
Prolapse
Vagina
Lupus Erythematosus, Systemic
title_short Vaginal evisceration related to genital prolapse in premenopausal woman
title_full Vaginal evisceration related to genital prolapse in premenopausal woman
title_fullStr Vaginal evisceration related to genital prolapse in premenopausal woman
title_full_unstemmed Vaginal evisceration related to genital prolapse in premenopausal woman
title_sort Vaginal evisceration related to genital prolapse in premenopausal woman
author Schreiner,Lucas
author_facet Schreiner,Lucas
Santos,Thais Guimarães dos
Nygaard,Christiana Campani
Oliveira,Daniele Sparemberger
author_role author
author2 Santos,Thais Guimarães dos
Nygaard,Christiana Campani
Oliveira,Daniele Sparemberger
author2_role author
author
author
dc.contributor.author.fl_str_mv Schreiner,Lucas
Santos,Thais Guimarães dos
Nygaard,Christiana Campani
Oliveira,Daniele Sparemberger
dc.subject.por.fl_str_mv Prolapse
Vagina
Lupus Erythematosus, Systemic
topic Prolapse
Vagina
Lupus Erythematosus, Systemic
description ABSTRACT 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. 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 defaction. 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.
publishDate 2017
dc.date.none.fl_str_mv 2017-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1677-55382017000400766
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/s1677-5538.ibju.2016.0249
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Urologia
publisher.none.fl_str_mv Sociedade Brasileira de Urologia
dc.source.none.fl_str_mv International braz j urol v.43 n.4 2017
reponame:International Braz J Urol (Online)
instname:Sociedade Brasileira de Urologia (SBU)
instacron:SBU
instname_str Sociedade Brasileira de Urologia (SBU)
instacron_str SBU
institution SBU
reponame_str International Braz J Urol (Online)
collection International Braz J Urol (Online)
repository.name.fl_str_mv International Braz J Urol (Online) - Sociedade Brasileira de Urologia (SBU)
repository.mail.fl_str_mv ||brazjurol@brazjurol.com.br
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