PMC6939412_01
Extruded bowel loops through the vagina.
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fig1
TBA recognized that the cause of prolonged labour was abnormal lie of the fetus and attempted to correct the lie by intrauterine manipulation through the vagina. This resulted in uterine rupture and subsequent evisceration of the intra-abdominal viscus through the vagina. The loop of the small intestine was initially mistaken for umbilical cord by the TBA who pulled several lengths of it through the vagina (Figure 1).
Ruptured uterus with devitalized intestine.
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fig2
The whole intestines were thoroughly examined (Figures 2 and 3); about half the length of the intestine was devitalized and therefore, resected and an end-to-end anastomosis was done.
Resected devitalized intestine.
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fig3
The whole intestines were thoroughly examined (Figures 2 and 3); about half the length of the intestine was devitalized and therefore, resected and an end-to-end anastomosis was done.