[Sharon]

A 51 year old female underwent anterior exenteration with ileal conduit for muscle invasive, urothelial carcinoma of the bladder. Urethrectomy was performed and the defect was closed. The post operative period was uneventful. A month later, she presented to the emergency department with history of acute abdominal pain and a mass descending per vagina following a violent bout of coughing. On examination, patient was dehydrated, tachycardiac and hypotensive. Abdominal examination revealed a scaphoid abdomen with an ileal conduit functioning well. Examination of the perineum revealed prolapse of a 30-cm segment of small bowel through the vaginal introitus (fig1.). The bowel loops were seen to be congested, but not gangrenous. Vaginal introitus was narrow. Reduction of contents through the pelvic floor back into the peritoneal cavity was not attempted as the bowel loops were edematous and vaginal opening was very narrow. The patient was resuscitated and emergency laparotomy was done by a lower midline incision. The prolapsed contents were returned back into the peritoneal cavity. The bowel loops were viable and there was a small laceration of the distal ileum which had to be resected, and an end to end anastomosis was done. Pelvic floor repair was done in 2 layers which was reinforced with a prolene mesh secured to the lateral pelvic walls and the vaginal walls. The ileal conduit was functioning well and the ureteric stents were removed. The patient had an uneventful recovery.

[corpsehands]

her vagina makes sausage!

[Sharon]

Originally Posted by corpsehands ↗

her vagina makes sausage!

Looks like finest Cumberland

[ArtOfLife]

Holy shit

[Brometheus]

worst fuckin prolapse i've ever seen.. never thought this could happen. but the title seemed to explain it all.. fuckin unbelievable. she seems to be having other problems as well. only 51 with a body like that? looks 80+

[Sharon]

Originally Posted by Brometheus ↗

worst fuckin prolapse i've ever seen.. never thought this could happen. but the title seemed to explain it all.. fuckin unbelievable. she seems to be having other problems as well. only 51 with a body like that? looks 80+

I know, shocking eh? Poor woman. She looks extremely under-nourished

[durt]

...I like your sausage maker pic

[TwistedPrincess]

A month later, she presented to the emergency department with history of acute abdominal pain and a mass descending per vagina following a violent bout of coughing

pics would make a great ad for cough drops or cough syrup....

Don't take chances. You could cough your guts out! Hells Mentho-Lyptus Cough Suppressant Drops

[collaredgirl65]

[Sharon]

Originally Posted by TwistedPrincess ↗

pics would make a great ad for cough drops or cough syrup....

Don't take chances. You could cough your guts out! Hells Mentho-Lyptus Cough Suppressant Drops

I'd LOVE to see that image on Covonia bottles