Postcoital genital rupture is an unusual but well documented problem of hysterectomy. Evisceration associated with the little intestine, vaginal bleeding and pelvic discomfort are typical presenting features. We report the case that is unusual of rupture presenting with generalised peritonitis without genital evisceration.
Postcoital genital rupture is an unusual but well documented problem of hysterectomy. Evisceration associated with the tiny intestine is a very common presenting function and will be followed by genital bleeding and pain that is pelvic. These signs often occur 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 sex and 10 months after having a laparoscopic hysterectomy.
Instance history
A woman that is 35-year-old into the accident and crisis department with a 4-day reputation for stomach discomfort. The pain was generalised, colicky and progressive in general. It absolutely was connected with anorexia, vomiting and constipation for 48 hours. She admitted to being intimately active but denied any abnormal discharge that is vaginal bleeding. At that right time, neither had been she asked straight whether or not the start of pain coincided with sexual activity nor did https://adult-friend-finder.org she volunteer these records. Her previous health background contains a laparoscopic hysterectomy ten months earlier in the day for dysfunctional uterine bleeding and pelvic discomfort, hypothyroidism and cranky bowel problem.
On examination, the individual seemed unwell with significant stomach discomfort. Initial findings revealed a temperature of 37.4єC, a blood that is systolic of 121mmHg and a tachycardia of 103 beats each and every minute. Continue reading “Postcoital rupture that is vaginal hysterectomy presenting as generalised peritonitis”