Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : September | Volume : 11 | Issue : 9 | Page : QD01 - QD02

Recurrent Vaginal Cuff Dehiscence in a Treated Case of Carcinoma Cervix

Sunesh Kumar, Seema Singhal, Yamini Kansal, Dayanand Sharma

1. Professor, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India. 2. Assistant Professor, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India. 3. Senior Resident, Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, New Delhi, India. 4. Professor, Department of Radiation Oncology, All India Institute of Medical Sciences, New Delhi, India.

Correspondence Address :
Dr. Yamini Kansal,
Department of Obstetrics and Gynaecology. Room no. 3076, Third floor, Teaching Block,
AIIMS, Ansarinagar, New Delhi-110029, India.
E-mail: dryaminikansal@gmail.com

Abstract

Vaginal Cuff Dehiscence (VCD) is partial or total separation of anterior and posterior vaginal cuff layers. We report a case of recurrent vault cuff dehiscence in a patient of cervical carcinoma. A 60-year-old treated case of carcinoma cervix post surgery and radiotherapy was found to have vault dehiscence and intestinal prolapse second time during a routine speculum examination. She underwent an emergency laparotomy and closure of vault. Vaginal Cuff Dehiscence with Evisceration (VCDE) is a rare but potentially fatal complication following hysterectomy. Postoperative infection, poor technique, hematoma, coitus before healing, radiotherapy, corticosteroid therapy are the risk factors. Radiotherapy leads to progressive obliterative endarteritis and resultant tissue hypoxia. There is paucity of literature regarding the best management of VCD, but early corrective intervention is necessary. Patients and the treating physicians should be made aware of this possibility especially those receiving adjuvant radiation or cases of robotic or laparoscopic hysterectomies.

Keywords

Hysterectomy, Vaginal brachytherapy, Vaginal dehiscence, Visceral prolapse

How to cite this article :

Sunesh Kumar, Seema Singhal, Yamini Kansal, Dayanand Sharma. RECURRENT VAGINAL CUFF DEHISCENCE IN A TREATED CASE OF CARCINOMA CERVIX. Journal of Clinical and Diagnostic Research [serial online] 2017 September [cited: 2017 Sep 21 ]; 11:QD01-QD02. Available from
http://jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=September&volume=11&issue=9&page=QD01-QD02&id=10508

DOI and Others

DOI: 10.7860/JCDR/2017/28389.10508

Date of Submission: Mar 15, 2017
Date of Peer Review: May 24, 2017
Date of Acceptance: Aug 08, 2017
Date of Publishing: Sep 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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