PMC4253695_01
Small bowel evisceration through the vagina.
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fig1
Bowel loops were edematous but viable (Figure 1).
Vaginal wall defect (laparoscopic view).
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fig2
LLETZ (Figure 2). Laparoscopic evaluation found neither bowel abnormalities nor any peritonitis.
Laparoscopic repair of the defect involving Vicryl simple suture.
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fig3
Treatment consisted in peroperative antibiotic prophylaxis (amoxicillin plus clavulanic acid 2 g), peritoneal washing, and vaginal repair with interrupted laparoscopic Vicryl sutures (Figure 3).