Vaginal evisceration following anterior pelvic exenteration

Vaginal evisceration of bowel is an rare complication^1,2. Approximately 80 cases have been documented in world literature¹. Bowel evisceration is more commonly seen in postmenopausal women^1,2 and is well documented complication of operations for gynecological malignancies, and pelvic exenteration². There are very few reports of this complication occurring following anterior exenteration for carcinoma bladder in female^3,4. 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.