Small bowel evisceration following an abdominal hysterectomy

Vaginal vault evisceration is a rare condition seen in postmenopausal women who have previously undergone hysterectomy, causing disruption of the vaginal vault and resulting in extrusion of intraperitoneal content. We report a case of a woman who presented with spontaneous rupture of the vaginal vault and prolapse of small bowel loop two years after abdominal hysterectomy. The rent in the vaginal vault was repaired via vaginal route after the repositioning of the bowel. Vaginal evisceration remains a rare but potentially serious condition that requires emergency surgical intervention

Preterm prelabor rupture of membranes at 34-37 weeks: conservative versus active management

To compare the fetal and maternal morbidity in terms of fetal distress, chorioamnionitis and mode of delivery in conservative and active management of preterm prelabor rupture of membranes [PPROM] at 34-37 weeks of pregnancy. Quasi experimental study. Department of Obstetrics and Gynaecology, Bahawal Victoria Hospital, Bahawalpur from January 2007 to December 2007. A total of 100 cases were included in the study and divided into two groups of 50 each, Group "A" patients were managed conservatively and group "B" underwent active management with immediate induction of labor. Eighteen [18%] patients developed chorioamnionitis. Out of these 13 [26%] were in conservatively managed group and 5 [10%] in actively managed group. Twelve [12%] patients developed fetal distress. 7 [14%] in conservatively managed group and 5 [10%] in actively managed group. A total of 20 [20%] patients underwent cesarean section. Out of these 11 [22%] were from conservatively managed group and 9 [18%] from actively managed group. Induction of labor at presentation is a better option than conservative management in terms of chorioamnionitis but the results are not significantly different for the fetal distress and mode of delivery