Vaginal Evisceration Following Colpocleisis and Sacrocolpopexy

Vaginal vault dehiscence with evisceration is a rare complication after hysterectomy. Early recognition and surgical intervention are required to prevent morbidity and mortality. There is however no consensus as to the optimal surgical approach to repair the vaginal defect and prevent recurrence. We present the extremely rare case of vaginal vault dehiscence with evisceration in a postmenopausal woman with a prior history of both colpocleisis and sacrocolpopexy to treat recurrent post-hysterectomy vault prolapse.