Recto-vaginal sex leading to colostomy and recto-vaginal repair

Purwar, B; Panda, Samindra; Odogwu, Steve; Joseph, A T

doi:10.1258/ijsa.2007.005694

Cited by 11 publications

(5 citation statements)

References 3 publications

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“…Purwar et al. reported a similar case of consensual intercourse leading to rectovaginal tear without any other injuries that required primary repair and colostomy [7]. Although severe coital injuries of the vagina with concomitant laceration of the rectum and the anal sphincters have been reported [8], this is the first case of rectovaginal rupture resulting from anal penetration during consensual intercourse without sphincter damage or other genital laceration.…”

Section: Discussionmentioning

confidence: 94%

“…A perforating vaginal laceration can be consistent with the diagnosis of coital injury without assault, but when other injuries such as tears, ecchymosis, abrasions, or redness are found to the posterior fourchette, labia minor, and hymen or even injury to the anal sphincters is present, then the possibility of sex crime is strongly suspected. Purwar et al reported a similar case of consensual intercourse leading to rectovaginal tear without any other injuries that required primary repair and colostomy [7]. Although severe coital injuries of the vagina with concomitant laceration of the rectum and the anal sphincters have been reported [8], this is the first case of rectovaginal rupture resulting from anal penetration during consensual intercourse without sphincter damage or other genital laceration.…”

Section: Discussionmentioning

confidence: 94%

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Consensual Intercourse Resulting in an Extensive Rectovaginal Tear: An Extremely Rare Occurrence

Symeonidis

Ballas

Micha

et al. 2015

The Journal of Sexual Medicine

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Introduction Rectovaginal tears are usually associated with the insertion of foreign bodies, accidental trauma, and nonconsensual intercourse. Aim The aim of this study was to describe an extremely rare case of extensive rectovaginal tear as a result of consensual vaginal and anal intercourse. Methods A case is presented along with review of the literature. Results A 20-year-old woman presented with acute perineal pain and minor vaginal bleeding following consensual vaginal and anal intercourse. No insertion of sex toy or any other object was reported. Vaginal and rectal examination revealed a ruptured posterior vaginal wall with wide communication with the rectum, without involvement of the anal sphincters. Surgical treatment with primary repair of the tear and diverting colostomy was performed. Conclusions Although consensual intercourse is usually associated with minor genital trauma, rare but potentially serious injuries can occur. Clinicians should be aware of the possibility of such injuries because failure to identify them can lead to delayed treatment and poor outcome.

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Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 94%

Consensual Intercourse Resulting in an Extensive Rectovaginal Tear: An Extremely Rare Occurrence

Symeonidis

Ballas

Micha

et al. 2015

The Journal of Sexual Medicine

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“…This can be a minor laceration, a vaginal laceration, or, more seriously, abundant bleeding with a shock that may require ligation of the internal iliac artery. 1 The rupture of the rear vaginal dead-end or pouch of Douglas rupture as the origin of hemorrhage, hemoperitoneum, pneumoperitoneum, or vaginal evisceration is more frequently encountered in gynecologic emergencies. 2 The occurrence of rectovaginal fistula caused by coital trauma necessitates, however, specific anatomic predisposition and/or special circumstances.…”

Section: Discussionmentioning

confidence: 99%

“…1 The dorsal recumbent position with thigh hyperflexion and abduction, as well as brutality, vaginal dryness, or repeated aggressive use of foreign objects can encourage rectovaginal fistulas. [1][2][3][4][5] In the reported case, virginity and the absence of sex education for the couple were probably the major underlying factors. In conservative communities, such as Senegal, sex remains a taboo subject and girls remain virgins until marriage.…”

Section: Discussionmentioning

confidence: 99%

Postcoital Rectovaginal Fistula: A Case Report

Diop¹,

Konaté

et al. 2012

Journal of Gynecologic Surgery

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Background: Coital trauma cases reported in the literature mostly occur in the context of sexual violence, abuse, or rape. Consenting sexual intercourse is exceptional as the origin of a rectovaginal fistula. Such a fistula might be caused by the woman's virginity or sexual abstinence, the disproportion in size between the penis and vagina, or by vaginal dryness and the repeated aggressive use of foreign objects. Case: The case of a 22-year-old African woman from Senegal who was treated for rectovaginal fistula that had occurred in the context of consenting sexual intercourse, is presented. The couple did not have any anomaly or genital malformation. The patient was admitted 2 days after her first sexual intercourse for vaginal bleeding and release of fecal matter through vaginal route. Examination of the perineum showed a low rectovaginal fistula that was treated by a one-time repair. The patient had an uneventful postoperative course and was discharged 5 days after the surgical operation. Conclusions: Rectovaginal fistula after consenting sexual intercourse is exceptional. Virginity and lack of sexual education were the main catalyzing factors in the case reported here. ( J GYNECOL SURG 28:292)

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“…Berichte finden sich auch hier insbesondere aus den afrikanischen Ländern [130,190]. Fisteln nach Geschlechtsverkehr werden jedoch auch in Publikationen aus anderen Ländern beschrieben [227,267,268].…”

Section: Postpartale Rektovaginale Fistelnunclassified

S3-Leitlinie: Rektovaginale Fisteln (ohne M. Crohn)

Ommer¹,

Herold²,

Berg³

et al. 2012

coloproctology

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Rektovaginale Fisteln (RVF) sind definiert als mitEpithel ausgekleidete unnatürliche Verbindungen zwischen Rektum und Vagina. Die Häufigkeit wird mit etwa 5% aller anorektalen Fisteln angegeben [287]. Durch Abgang von Luft und Sekret bzw. Stuhl aus dem Rektum über die Scheide resultiert die psychosoziale Belastung der betroffenen Frauen. Diese nimmt mit dem Durchmesser der Fistel zu. Folgen können rezidivierende Entzündungen sowohl der Vagina als auch der unteren Harnwege sein. Bezüglich der Ätiologie müssen verschiedene Typen unterschieden werden. Ursachen stellen v. a. Entbindungstraumata und iatrogene Fisteln nach Eingriffen im Damm-und Becken bereich dar. Auch die Entstehung über lokale Entzündungen und Tumoren ist möglich. Ziel dieser S3-Leitlinie ist die Darstellung des Krankheitsbildes und der Therapieoptionen auf der Basis einer evidenzbasierten Aufarbeitung der vorhandenen Literatur.

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Recto-vaginal sex leading to colostomy and recto-vaginal repair

Abstract: Recto-vaginal tears have been described in association with foreign bodies, rape and accidental trauma victims. We describe a case of upper recto-vaginal tear without involvement of perineum or sphincter following consensual heterosexual coitus, which has not been previously reported.

Cited by 11 publications

References 3 publications

Consensual Intercourse Resulting in an Extensive Rectovaginal Tear: An Extremely Rare Occurrence

Consensual Intercourse Resulting in an Extensive Rectovaginal Tear: An Extremely Rare Occurrence

Postcoital Rectovaginal Fistula: A Case Report

S3-Leitlinie: Rektovaginale Fisteln (ohne M. Crohn)

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