Postcoital rupture that is vaginal hysterectomy presenting as generalised peritonitis

Postcoital rupture that is vaginal an uncommon but well documented complication of hysterectomy. Evisceration of this intestine that is small genital 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 rupture that is vaginal a unusual but well documented problem of hysterectomy. Evisceration for the tiny intestine is a very common presenting function and might be associated with genital bleeding and pain that is pelvic. These signs often happen during or right after sex 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 sex and 10 months after having a laparoscopic hysterectomy.

Situation history

A 35-year-old woman presented into the accident and emergency division with a 4-day reputation for stomach discomfort. The pain was generalised, colicky and modern in general. It had been related to anorexia, vomiting and constipation for 48 hours. She admitted to being intimately active but denied any irregular discharge that is vaginal bleeding. At that time, neither ended up being she asked directly whether or not the start of discomfort coincided with intercourse nor did she volunteer these details. Her previous health background contained a laparoscopic hysterectomy ten months early in the day for dysfunctional uterine bleeding and pelvic discomfort, hypothyroidism and bowel syndrome that is irritable.

On assessment, the in-patient seemed unwell with significant stomach discomfort. Initial observations revealed a temperature of 37.4єC, a blood that is systolic of 121mmHg and a tachycardia of 103 beats each and every minute. Her stomach ended up being swollen with generalised peritonism and tenderness. Rectal and examinations that are vaginal maybe perhaps not done when you look at the crisis division. 继续阅读Postcoital rupture that is vaginal hysterectomy presenting as generalised peritonitis