Vaginal enterocele after cystectomy: A case report

Abstract

BACKGROUND

After undergoing radical cystectomy combined with hysterectomy, female patients may suffer from pelvic organ prolapse due to the destruction of pelvic structures, which mainly manifests as the prolapse of tissues of the vulva to varying degrees and can be accompanied by symptoms, such as bleeding and inflammation. Once this complication is present, surgical intervention is needed to resolve it. Therefore, preventing and managing this complication is especially important.

CASE SUMMARY

The postoperative occurrence of acute enterocele is rare, and a case of acute small bowel vaginosis 2 mo after radical cystectomy with hysterectomy is reported. When the patient was admitted, physical examination revealed that the small bowel was displaced approximately 20 cm because of vaginocele. A team of gynecological, general surgery, and urological surgeons was employed to return the small bowel and repair the lacerated vaginal wall during the emergency operation. Eventually, the patient recovered, and no recurrence was seen in the half year of follow-up.

CONCLUSION

We review the surgical approach for such patients, analyze high-risk factors for the disease and suggest corresponding preventive measures.

Keywords: Acute enterocele; Complication; Pelvic organ prolapse; Prevention; Repair; Case report

Core Tip: After undergoing radical cystectomy combined with hysterectomy, female patients may suffer from pelvic organ prolapse due to the destruction of pelvic structures, which mainly manifests as the prolapse of tissues of varying degrees in the vulva and can be accompanied by symptoms, such as bleeding and inflammation. Once this complication is present, we need surgical intervention to resolve it. So how to prevent and manage this complication is especially important. We review the surgical approach for such patients, analyzes high-risk factors for the disease and focuses on suggesting corresponding preventive measures.