Pneumoperitoneum after Sexual Assault in a Patient Who Had Hysterectomy 30 Years Ago: Case Report

Im, Daniel D.; Pak, Peter S.; Cua, Bennett; Feinberg, Elyssa

doi:10.1016/j.jemermed.2011.05.049

Cited by 5 publications

(2 citation statements)

References 11 publications

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“…We performed a Pubmed search using the keywords “spontaneous”, “non-surgical”, “benign”, “pelvic” and “gynaecologic” in May 2013 and encountered 4 additional cases of non-surgical pneumoperitoneum from gynaecologic causes. 16–19 …”

Section: Discussionmentioning

confidence: 99%

“…The common gynaecologic causes include pelvic examinations 2–4,18,20 , post-partum knee-chest exercises, 3,21,22 coitus, 3,4,16,19,23,24,25 oro-genital sex, 26–29 vaginal douching, 3,4,30 pelvic inflammatory disease, 31 hysterosalpingography 31 and water skiing. 32 The essential mechanism is the passage of air through the vagina, cervix, uterus and fallopian tubes into the peritoneum 3,4 or through a vaginal stump opening in patients who have had hysterectomies.…”

Section: Discussionmentioning

confidence: 99%

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Non-surgical pneumoperitoneum after oro-genital intercourse

Cawich

Johnson

Williams

et al. 2013

International Journal of Surgery Case Reports

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INTRODUCTIONIn many cases, a pneumoperitoneum is due to air escaping from a perforated hollow viscus or surgical intervention but there are increasing reports of non-surgical causes.PRESENTATION OF CASEWe report a case where a pneumoperitoneum was identified after oro-genital sexual intercourse.DISCUSSIONThere were nineteen reported cases of non-surgical pneumoperitoneum from gynaecologic causes up to May 2013. We report an additional case four hours after oro-genital intercourse. Close clinical observation and symptomatic treatment are usually all that is required but operative interventions should be considered if the patient develops abdominal pain, peritoneal signs, fever or leukocytosis during observation.CONCLUSIONThis adds to the world literature on non-surgical pneumoperitoneum from oro-genital intercourse. Clinicians should be aware of this condition and focus on medical-sexual history as this information could prevent a patient from being exposed to expensive diagnostics and invasive operative treatments. Patients should also be educated about the mechanisms to avoid future possible diagnostic dilemmas.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Non-surgical pneumoperitoneum after oro-genital intercourse

Cawich

Johnson

Williams

et al. 2013

International Journal of Surgery Case Reports

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Pneumoperitoneum by Inguinal Laceration after Traffic Accident

Lim

Lee

et al. 2017

The Journal of Emergency Medicine

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Traumatic Pneumoperitoneum After Vaginal Intercourse

Buckley

2020

Pediatr Emer Care

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Objectives Pneumoperitoneum with peritonitis, although uncommon, is a serious injury encountered in the pediatric emergency department. Although the patients may often appear ill or toxic, they can have normal vital signs at initial presentation. Patients with such injury can present with a variety of complaints because of the nature of referred pain. As a result, some patients may be more or less straightforward, thus illustrating the importance of obtaining a detailed history and performing a thorough physical examination. Methods We discuss an uncommon case report of pneumoperitoneum with peritonitis in an adolescent patient presenting with vaginal bleeding and abdominal pain hours after vigorous coitus. Results Examination under anesthesia, flexible sigmoidoscopy, and exploratory laparoscopy revealed a vaginal laceration and a 2- to 3-cm perforated area at the left edge of the vaginal laceration that involved the rectovaginal septum entering the peritoneal cavity. Conclusions Pneumoperitoneum resulting from vaginal intercourse in an otherwise healthy adolescent female is a rare cause of peritonitis. Although it has been described in the adult literature, this case illustrates the importance of considering sexual history as a contributory factor in pediatric patients presenting with an acute abdomen.

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Pneumoperitoneum after Sexual Assault in a Patient Who Had Hysterectomy 30 Years Ago: Case Report

Cited by 5 publications

References 11 publications

Non-surgical pneumoperitoneum after oro-genital intercourse

Non-surgical pneumoperitoneum after oro-genital intercourse

Pneumoperitoneum by Inguinal Laceration after Traffic Accident

Traumatic Pneumoperitoneum After Vaginal Intercourse

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