An injury resulting in vaginal evisceration.

Vaginal injuries following perineal trauma are relatively rare. Vaginal evisceration is even rarer accounting for less than 1% of all trauma to the perineum [1]. These injuries are associated with minimal symptoms and signs. Perineal or lower abdominal pain with vaginal bleeding are the common complaints and investigations such as erect abdominal x-ray or abdominal ultra-sonography may not demonstrate the extent of the injury. Vaginal speculum examination, proctoscopy and cystoscopy are important in the evaluation of the patient. CT is useful if peritoneal involvement is suspected.