https://www.crest-journal.net/site/issue/feedCase Reports in Emergency Surgery and Trauma2024-02-06T16:06:16+00:00Teresa Carrarateresa.carrara@pagepress.orgOpen Journal Systems<p><strong>CREST (Case Reports in Emergency Surgery and Trauma)</strong> is an international, peer-reviewed journal devoted to expanding the quality of care in the scientific field of Acute Care Surgery & Trauma (ACS&T) by publishing articles reporting clinical cases on this study area. The rationale for publishing case reports in the ACS&T field is double. On the one hand, in this area of study it is extremely costly and difficult to produce studies of the highest degree of scientific evidence (i.e. controlled clinical trials, especially randomised) and on the other hand, clinical cases (and their particular scientific information) find little, if non-zero, dissemination’ chance in the scientific literature. The journal welcomes submissions from international contributors and researchers of all specialties involved in ACS&T. CREST publishes essentially Case Reports or small Case Series (and eventually Letter) related to the practice in the field of ACS&T. Clinical cases published on CREST must comply, in addition to originality, with three other conditions:</p> <ol type="1"> <li>to follow the <strong>CARE guidelines</strong> for publication of case reports (<a href="https://www.care-statement.org/" target="_blank" rel="noopener">https://www.care-statement.org/</a>);</li> <li>to report a comprehensive review of the central topic of the case report in the Discussion section;</li> <li>to indicate in the conclusions the fundamental "learning" obtained from the clinical case.</li> </ol> <p><strong>CREST</strong> is supported by <a title="SIFIPAC" href="https://sifipac.net/" target="_blank" rel="noopener">SIFIPAC</a> (Società Italiana di Fisiopatologia Chirurgica, <em>Italian Society of Surgical Physiopathology</em>).</p>https://www.crest-journal.net/site/article/view/26Sneeze-induced transvaginal small bowel evisceration and obstruction nine months after iatrogenic vaginal vault laceration: a case report2024-02-06T16:06:16+00:00Francesco Salvettifrancesco.salvetti02@universitadipavia.itAlessandro Bergnaalessandro.bergna01@universitadipavia.itLorenzo Polettilorenzo.poletti01@universitadipavia.itGiulio Misitanogiulio_misitano@asst-pavia.itGiulia Del Regiulia.delre@live.comDaniele Belottidaniele_belotti@asst-pavia.itFabrizio Signorellifabrizio_signorelli@asst-pavia.itPaolo Previde Massarapaolo_previde@asst-pavia.itLuca Del Reluca_del_re@asst-pavia.it<p>Transvaginal evisceration (TE) is the extrusion of intra-abdominal viscera through the vagina. According to the literature, few cases have been reported, most of them involving elderly women who underwent previous pelvic surgery. Here we present the case of a 72-year-old woman who was admitted to our hospital due to the sensation of vaginal obstruction that appeared after a sneeze nine months after a repair of a vault laceration following prior complex pelvic surgery. A clinical diagnosis of small bowel transvaginal evisceration with obstruction was quickly made. In this case, adhesions, bowel obstruction, and the presence of a fibrotic scar on the vaginal vault were the main obstacles to the repair. However, a multidisciplinary evaluation and a combined laparoscopic-transvaginal minimally-invasive approach proved to be safe and effective in achieving good surgical outcomes in the treatment of this condition.</p>2024-02-06T00:00:00+00:00Copyright (c) 2024 the Author(s)