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Acute pneumoperitoneum following coitus

Published online by Cambridge University Press:  21 May 2015

Ranjit Manchanda  and
Ashraf Refaie
Ranjit Manchanda*
Affiliation:
Obstetrics and Gynaecology, Dept. of Obstetrics and Gynaecology, Bedford Hospital, Bedford, United Kingdom
Ashraf Refaie
Affiliation:
Obstetrics and Gynaecology, Department of Obstetrics and Gynaecology, Bedford Hospital, Bedford, United Kingdom
*
SpR Obstetrics and Gynaecology, Department of Obstetrics & Gynaecology, Bedford Hospital, Kempston Road, Bedford MK42 9DJ UK; ranjitsupriya@yahoo.co.uk

Abstract

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Vaginal rupture leading to pneumoperitoneum is well documented to occur after hysterectomy or surgery. However, it is extremely rare in a young woman following conventional intercourse. We report one such case. A 16-year-old woman presented to the accident and emergency department with a clinical picture of an acute abdomen. Results of radiography showed gas under the diaphragm, suggesting the possibility of bowel perforation. A detailed sexual history pointed toward the possibility of vaginal trauma. Diagnosis was confirmed on examination under anesthesia, and the tear repaired. A concomitant laparoscopy ruled out any other intra-abdominal injury. This case reminds us that acute peritoneum can occur after sexual intercourse and also reiterates the importance of a detailed sexual history and vaginal examination in young women presenting with an acute abdomen.

Keywords

post-coital pneumoperitoneumvaginal trauma
Type
Case Report • Observations de cas
Information
Canadian Journal of Emergency Medicine , Volume 7 , Issue 1 , January 2005 , pp. 51 - 53
Copyright
Copyright © Canadian Association of Emergency Physicians 2005

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