Author:
Ye Piao-Piao,Yan Xiao-Jian,Bano Yasmeen,Zhao Hong-Qin,Xie Feng-Feng,Zhang Fang-Yi,Wang Yu-Feng,Xie Hui,Jiang Hai-Hong
Abstract
Abstract
Background
The prolapse of a ruptured and extruded bladder after vaginal hysterectomy is rare in clinical practice. We report the case of a significant mass that prolapsed from the vagina after a vaginal hysterectomy in a multiparous postmenopausal woman.
Case presentation
A 67-year old multiparous postmenopausal Chinese woman was found to have a significant mass extruding from the vagina after a vaginal hysterectomy. The mass was a ruptured and everted bladder, and the diagnosis was confirmed after physical and imaging examinations and urethral catheterization. The patient underwent an emergency operation for mass reduction, bladder repair, and partial colpocleisis under general anesthesia. She recovered without prolapse or urinary drainage complications after 35 months of follow-up.
Conclusions
The present case serves as a guide for the management of patients with pelvic organ prolapse. The condition of patients should be carefully evaluated before surgery, and individualized operation should be performed. Careful postoperative follow-up is crucial for the timely exclusion of complications, especially in elderly patients with persistently increased abdominal pressure.
Funder
National Natural Science Foundation of China
Zhejiang Provincial medical and health technology program projects of China
Natural Science Foundation of Guangdong Province
Publisher
Springer Science and Business Media LLC
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