PMC9086488_01
Necrotic ileal loops eviscerated from the vagina.
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F1
The patient was referred to the general surgeon for examination, revealing multiple edematous and necrotic loops of small bowel protruding through the vaginal vault, with part of the mesentery (Figure 1).
Macroscopic aspect of the ileum resected.
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F2
During the inspection of the ileum, we noticed a Meckel diverticulum close to the previous resection (Figure 2).
Interrupted stiches on the vagina.
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F3
The vaginal vault defect was closed by interrupted suture by the colleague gynecologist (Figure 3); the plan by plan reconstruction of pelvic floor was not possible in such emergency condition.