Post-coital vaginal vault rupture following radical hysterectomy

Elbiss, Hassan; Jain, Y.; Watts, J. F.

doi:10.1080/01443610500211684

Cited by 1 publication

(2 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Postoperative wound infection, hematoma, and early resumption of sexual activities are predisposing factors. 2 The finding of pus at laparotomy in this case may be due to the inflammatory reaction secondary to the perforation, but chronic collection that might have weakened the vaginal vault resulting in rupture cannot be ruled out.…”

Section: Discussionmentioning

confidence: 90%

See 1 more Smart Citation

Posthysterectomy Vaginal-Vault Rupture: A Clinical Rarity

Mathew

Stonelake

Olagundoye

2010

Journal of Gynecologic Surgery

View full text Add to dashboard Cite

Background: Total abdominal hysterectomy is associated with many potential complications including infection, hemorrhage, and damage to other structures. Posthysterectomy vaginal-vault rupture is a recognized but very rare complication that should not be ignored as a differential in female patients presenting with acute abdominal symptoms. Case: We present the case of a 49-year-old woman who presented with acute abdominal pain with no vaginal symptoms, and who had undergone abdominal hysterectomy 3 months prior. She was in shock and had localized peritonism, and a pneumoperitoneum was diagnosed on erect chest radiography. A diagnosis of vaginal vault rupture was made on examination under anesthesia, and an emergency laparotomy was performed. The defect in the vaginal vault was repaired and the patient went on to make an uneventful recovery. Conclusions: As this condition is very rare, it is important that general practitioners, emergency doctors, and surgeons be aware of the diagnosis so that cases are not confused with other causes of pelvic pain. A high index of suspicion with prompt initiation of appropriate investigations and treatment is the key to ensure better patient outcome. ( J GYNECOL SURG 26:195)

show abstract

Section: Discussionmentioning

confidence: 90%

“…1 These are usually postcoital (in premenopausal females) but may be spontaneous (in postmenopausal women) due to increased intraabdominal pressure. [2][3][4] Severe thinning of the vault from absence of estrogen in postmenopausal women may also be a contributory factor.…”

Section: Discussionmentioning

confidence: 99%