Postcoital rupture that is vaginal hysterectomy presenting as generalised peritonitis

Postcoital rupture that is vaginal hysterectomy presenting as generalised peritonitis

Postcoital genital rupture is a unusual but well documented problem of hysterectomy. Evisceration regarding the little intestine, genital bleeding and pelvic pain are normal presenting features. We report the uncommon instance of genital rupture presenting with generalised peritonitis without vaginal evisceration.

Postcoital genital rupture is a uncommon but well documented problem of hysterectomy. Evisceration associated with little intestine is a very common presenting function and can even be followed closely by genital bleeding and pelvic discomfort. These signs often happen during or right after sex together with diagnosis is self obvious. We report the case that is unusual of rupture presenting with generalised peritonitis without genital evisceration 4 times after intercourse and 10 months after having a laparoscopic hysterectomy.

Instance history

A woman that is 35-year-old towards the accident and crisis division having a 4-day reputation for stomach discomfort. The pain was generalised, colicky and modern in general. It had been connected with anorexia, vomiting and constipation for 48 hours. She admitted to being intimately active but denied any irregular genital discharge or bleeding. At that right time, neither ended up being she asked straight perhaps the start of pain coincided with sexual activity nor did she volunteer these records. Her previous medical background contained a laparoscopic hysterectomy ten months earlier in the day for dysfunctional uterine bleeding and pelvic discomfort, hypothyroidism and bowel syndrome that is irritable. 继续阅读“Postcoital rupture that is vaginal hysterectomy presenting as generalised peritonitis”