Postcoital genital rupture is an uncommon but well documented problem of hysterectomy. Evisceration for the intestine that is small genital bleeding and pelvic discomfort are normal presenting features. We report the case that is unusual of rupture presenting with generalised peritonitis without vaginal evisceration.
Postcoital rupture that is vaginal a uncommon but well documented problem of hysterectomy. Evisceration of this little intestine is a very common presenting function and might be followed by vaginal bleeding and pain that is pelvic. These symptoms frequently happen during or right after sexual intercourse and also the diagnosis is self obvious. We report the case that is unusual of rupture presenting with generalised peritonitis without genital evisceration 4 times after sexual intercourse and 10 months after a laparoscopic hysterectomy.
A 35-year-old woman presented into the accident and emergency division with a 4-day reputation for abdominal discomfort. The pain was generalised, progressive and colicky in nature. It had been related to anorexia, vomiting and constipation for 48 hours. She admitted to being intimately active but denied any irregular vaginal release or bleeding. At that time, neither ended up being she asked straight if the start of discomfort coincided with intercourse nor did she volunteer these details. Her previous medical background contained a laparoscopic hysterectomy ten months early in the day for dysfunctional uterine bleeding and pelvic pain, hypothyroidism and cranky bowel problem.
On assessment, the individual seemed unwell with significant discomfort that is abdominal. Initial observations revealed a temperature of 37.4єC, a systolic blood pressure levels of 121mmHg and a tachycardia of 103 beats each and every minute. Continue reading “Postcoital rupture that is vaginal hysterectomy presenting as generalised peritonitis”