Vaginal Evisceration Following Anterior Pelvic Exenteration

Vaginal evisceration of bowel is an rare complication. Approximately 80 cases have been documented in world literature. Bowel evisceration is more commonly seen in postmenopausal women and is well documented complication of operations for gynecological malignancies, and pelvic exenteration. There are very few reports of this complication occurring following anterior exenteration for carcinoma bladder in female. We hereby report a case of transitional cell carcinoma of the bladder who presented with bowel prolapse through the pelvic floor, a month after anterior exenteration and ileal conduit urinary diversion. The case is being reported to impress upon the need for a thorough pelvic floor repair in cases of pelvic exenteration.