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    Transvaginal evisceration progressing to peritonitis in the emergency department: a case report

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    Author
    Lawson, Luan E.; Patterson, Leigh; Carter, Kelly
    Abstract
    Background Abdominal pain is a common complaint among emergency department patients, making it essential to identify those with life-threatening etiologies. We report on the rare finding of atraumatic transvaginal bowel evisceration in a patient presenting to the emergency department with the primary complaint of abdominal pain. Case Description A 63-year-old female presented ambulatory to the emergency department with abdominal pain and foreign body sensation in her vagina after coughing. Physical exam demonstrated evisceration of her small bowel through her vagina. During her clinical course, she rapidly deteriorated from appearing well without abdominal tenderness to hypotensive with frank peritonitis. Conclusion This case demonstrates the need to perform a thorough physical exam on all patients with abdominal pain and details the management of vaginal evisceration. This case also highlights the difficulty of appropriate triage for patients with complaints not easily assessed in triage. In an era of emergency department crowding, emergency physicians should reevaluate nursing education on triaging abdominal pain to prevent delays in caring for well-appearing patients who have underlying life-threatening illnesses.
    URI
    http://hdl.handle.net/10342/5392
    Date
    2011
    Citation:
    APA:
    Lawson, Luan E., & Patterson, Leigh, & Carter, Kelly. (January 2011). Transvaginal evisceration progressing to peritonitis in the emergency department: a case report. International Journal of Emergency Medicine, (66-66. Retrieved from http://hdl.handle.net/10342/5392

    Display/Hide MLA, Chicago and APA citation formats.

    MLA:
    Lawson, Luan E., and Patterson, Leigh, and Carter, Kelly. "Transvaginal evisceration progressing to peritonitis in the emergency department: a case report". International Journal of Emergency Medicine. . (66-66.), January 2011. May 20, 2022. http://hdl.handle.net/10342/5392.
    Chicago:
    Lawson, Luan E. and Patterson, Leigh and Carter, Kelly, "Transvaginal evisceration progressing to peritonitis in the emergency department: a case report," International Journal of Emergency Medicine 4, no. (January 2011), http://hdl.handle.net/10342/5392 (accessed May 20, 2022).
    AMA:
    Lawson, Luan E., Patterson, Leigh, Carter, Kelly. Transvaginal evisceration progressing to peritonitis in the emergency department: a case report. International Journal of Emergency Medicine. January 2011; 4() 66-66. http://hdl.handle.net/10342/5392. Accessed May 20, 2022.
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