BARSAK EVİSSERASYONU İLE SEYREDEN POSTKOİTAL VAJİNAL RÜPTÜR Postcoital Vaginal Rupture Complicated with Bowel Evisceration
Abstract
ÖZET
Cinsel ilişki sonrası barsak evisserasyonu ile seyreden vajinal rüptür nadir rastlanan bir klinik durumdur.
Postmenopozal kadınlarda vajinal rüptür daha çok intraabdominal basınç artışı yapan durumlar,pelvik cerrahi
öyküsü ve vajinal atrofi ile ilişkili iken menopoz öncesi rüptürlerde geçirilmiş pelvik cerrahi en önemli risk
faktörüdür. Cinsel ilişki sonrası karın ağrısı ve kanama ile gelen olgularda vajinal rüptür akılda bulundurularak
vajinal eksplorasyon tüm forniksleri görecek şekilde yapılmalı ve görüntüleme yöntemleri ile intraabdominal
kanamaların olabileceği düşünülerek muayene desteklenmelidir.
Anahtar Sözcükler: Postkoital yaralanma; Künt travma; Vajinal rüptür; Vajinal evisserasyon
ABSTRACT
Postcoital vaginal rupture complicated with bowel evisceration is a rare complication. Despite an increased
risk of vaginal rupture is associated with high intra-abdominal pressure, previous pelvic surgery and atrophy
of vagina in postmenopausal women previous pelvic surgery is the most common cause of vaginal rupture in
reproductive age. In case of abdominal pain and hemorrhage after coitus vaginal rupture must keep in mind
and a large exploration including vaginal fornix and good scanning for excluding intra-abdominal bleeding.
Keywords: PostcoitalInjury; Blunt trauma;Vaginal rupture; Vaginal evisceratio
References
- 1 .Croak AJ, Gebhart JB, Klingele CJ, Schroeder G, Lee RA, Podratz KC. Characteristics of patients with vaginal rupture and evisceration. ObstetGynecol. 2004 ;103(3):572-6 2. Gujar NN, Choudhari RK, Choudhari GR, BagaliNM, Bendre MB, Adgale SB. Coitus induced vaginal evisceration in a premenopausal woman: A casereport. Patient Saf Surg2011;5(1):6 3. Wheeless CR Jr. Vaginal evisceration. In: Mitchell CW, KidKeating M, eds. Atlas of pelvicsurgery. 3rd edition. Baltimore, MD: Williams &Wilkins; 1997:62–5 4. Ramirez PT, Klemer DP. Vaginal evisceration after hysterectomy: A literaturere view. Obstet Gynecol Surv 2002;57(7): 462–7 5. Hur HC, Guido RS, Mansuria SM, Hacker MR, Sanfilippo JS, Lee TT. Incidence and patient characteristics of vaginal cuff dehiscence after differentmodes of hysterectomies. J Minim Invasive Gynecol 2007;14(3):311–7 6. Brown ET, Koski ME, Lacour SM. Bowel evisceration through the bladder neck in A paraplegic female secondary to urethral coitus. J SexMed. 2012;9(4):1226-8. 7. Haney AF. Vaginal evisceration after forcible coitus with intraabdominal ejaculation. J Reprod Med. 1978; 21(4):254-6 8. Usifo F, Sharma R, Macrae R, Hargreaves C, Swinhoe JR. Posterior vaginal fornix rupture and haemoperitoneum following sexual intercourse. J Obstet Gynaecol. 2006;26(5):482-3. 9. Young B, Takoudes T, Lim KH, Rana S. Rupture of the posterior cul-de-sac during spontaneous labor. Obstet Gynecol. 2010;115(2 Pt 2):414-7 10. Lask S. Perforation of the posterior fornix and pouch of Douglas during coitus. Br Med J. 1948 24;1(4555):786
Abstract
References
- 1 .Croak AJ, Gebhart JB, Klingele CJ, Schroeder G, Lee RA, Podratz KC. Characteristics of patients with vaginal rupture and evisceration. ObstetGynecol. 2004 ;103(3):572-6 2. Gujar NN, Choudhari RK, Choudhari GR, BagaliNM, Bendre MB, Adgale SB. Coitus induced vaginal evisceration in a premenopausal woman: A casereport. Patient Saf Surg2011;5(1):6 3. Wheeless CR Jr. Vaginal evisceration. In: Mitchell CW, KidKeating M, eds. Atlas of pelvicsurgery. 3rd edition. Baltimore, MD: Williams &Wilkins; 1997:62–5 4. Ramirez PT, Klemer DP. Vaginal evisceration after hysterectomy: A literaturere view. Obstet Gynecol Surv 2002;57(7): 462–7 5. Hur HC, Guido RS, Mansuria SM, Hacker MR, Sanfilippo JS, Lee TT. Incidence and patient characteristics of vaginal cuff dehiscence after differentmodes of hysterectomies. J Minim Invasive Gynecol 2007;14(3):311–7 6. Brown ET, Koski ME, Lacour SM. Bowel evisceration through the bladder neck in A paraplegic female secondary to urethral coitus. J SexMed. 2012;9(4):1226-8. 7. Haney AF. Vaginal evisceration after forcible coitus with intraabdominal ejaculation. J Reprod Med. 1978; 21(4):254-6 8. Usifo F, Sharma R, Macrae R, Hargreaves C, Swinhoe JR. Posterior vaginal fornix rupture and haemoperitoneum following sexual intercourse. J Obstet Gynaecol. 2006;26(5):482-3. 9. Young B, Takoudes T, Lim KH, Rana S. Rupture of the posterior cul-de-sac during spontaneous labor. Obstet Gynecol. 2010;115(2 Pt 2):414-7 10. Lask S. Perforation of the posterior fornix and pouch of Douglas during coitus. Br Med J. 1948 24;1(4555):786
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Case Report |
| Authors | |
| Publication Date | March 25, 2020 |
| Published in Issue | Year 2020 Volume: 10 Issue: 1 |