Evidence map›Paper›PMID 41140769›Full record

ArticleJournal of surgical case reports2025

Transvaginal bowel evisceration and gangrenous small-bowel obstruction after self-amputation of neglected uterovaginal prolapse: a case report and review of literature.

Dereje Gashaw Andargie, Biruk T Mengistie, Chernet T Mengistie, Yonas T Habtemariam, Eyaya Misgan Asres, William Rutagengwa, Temesgen Tantu, Amanuel Sisay Endeshaw

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In one paragraph

Article in Journal of surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Dereje Gashaw AndargieDepartment of Surgery, College of Medicine and Health Sciences, Bahir Dar University, Peda (Kebele 08), PO Box 79, Bahir Dar, Amhara Region, Ethiopia.
Biruk T MengistieSchool of Medicine, College of Health Sciences, Addis Ababa University, Entoto Road, PO Box 9086, Addis Ababa, Ethiopia.ORCID https://orcid.org/0009-0005-4647-111X
Chernet T MengistieSchool of Medicine, College of Health Sciences, Addis Ababa University, Entoto Road, PO Box 9086, Addis Ababa, Ethiopia.
Yonas T HabtemariamDepartment of Surgery, College of Medicine and Health Sciences, Bahir Dar University, Peda (Kebele 08), PO Box 79, Bahir Dar, Amhara Region, Ethiopia.
Eyaya Misgan AsresDepartment of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Rwanda, KG 11 Avenue (Gasabo/Remera area), PO Box 3286, Kigali, Rwanda.
William RutagengwaPartners In Health (Inshuti Mu Buzima), Kirehe Program, Kirehe District Hospital, PO Box 45, Kibungo, Kirehe District, Eastern Province, Rwanda.
Temesgen TantuDepartment of Obstetrics and Gynecology, College of Medicine and Health Sciences, University of Rwanda, KG 11 Avenue (Gasabo/Remera area), PO Box 3286, Kigali, Rwanda.
Amanuel Sisay EndeshawDepartment of Anesthesia, College of Medicine and Health Sciences, Bahir Dar University, Peda (Kebele 08), PO Box 79, Bahir Dar, Amhara Region, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neglected uterovaginal prolapse (UVP) can lead to life-threatening complications. We report a 45-year-old para 5 woman with a 10-year history of UVP who presented after 2 days of a protruding vaginal mass, bilious vomiting, fever, and abdominal pain following an attempt to cut the prolapsed tissue with a blade. On examination, she was tachycardic, hypotensive, actively bleeding from the prolapse, and showed signs of small-bowel evisceration. Emergency laparotomy identified a 4-cm anterior uterine defect with 60 cm gangrenous ileum herniated ~15 cm from the ileocecal junction; the necrotic segment was resected and an ileostomy created, and definitive repair of the prolapse was performed. The patient recovered and was discharged on postoperative day seven. This case shows that neglected UVP may prompt desperate, dangerous self-interventions and can cause transvaginal bowel evisceration and strangulation; early recognition, prompt multidisciplinary surgical care, and attention to psychosocial barriers to care are essential to prevent such outcomes.

Indexed as

gangrenousself-attempted cuttingsmall bowel obstructionuterovaginal prolapse

Identifiers

PMID41140769
PMCPMC12551447

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.