Delayed vaginal vault dehiscence with irreducible omental prolapsed after laparoscopic hysterectomy

Abstract

Vaginal vault dehiscence after hysterectomy is an uncommon complication which usually happens after 5 – 7 weeks of surgery, delayed vault dehiscence is rare. Abdominal viscera can prolapse through vault dehiscence; the commonest organ is small bowel loops although other organs like omentum, colon, urinary bladder, appendix and even multi-organ prolapse have been reported in the literature. Vault dehiscence with abdominal organ prolapse needs immediate correction as complications like obstruction, perforation and peritonitis can happen if not corrected. Various approaches have been described for correction, we report a case of delayed dehiscence of the vaginal vault; a year after laparoscopic hysterectomy with irreducible omental prolapse through it, which was managed by combined trans-abdominal laparoscopic and trans-vaginal approach.

Keywords

• trans-vaginal omental prolapse
• vault dehiscence
• vaginal vault dehiscence
• post-hysterectomy vaginal vault dehiscence
• vault rupture
• omental prolapse