Surgery Today

, Volume 26, Issue 10, pp 846–848 | Cite as

Prolapse of the small intestine through a ruptured vagina caused during sexual intercourse: Report of a case

  • Hironobu Kimura
  • Kiichi Maeda
  • Kohji Konishi
  • Atsushi Tsuneda
  • Kenichi Tazawa
  • Mitsuharu Earashi
  • Tetsuya Inoue
  • Kazuhisa Yabushita
  • Yoshitaka Kuroda
  • Masahiko Tsuji
Case Reports

Abstract

We report herein the rare case of a 56-year-old woman who suffered vaginal rupture into the peritoneal cavity during sexual intercourse, through which the small intestine prolapsed out from the vaginal opening. The patient had undergone abdominal hysterectomy 4 years earlier. An emergency laparotomy was performed which revealed rupture in the posterior fornix of the vagina and peritonium through which prolapse of the small intestine had occurred. The prolapsed intestine was pulled back into the pelvic cavity, and the vagina and peritonium were repaired. Macroscopically, the operative findings revealed no inflammatory changes or evidence of malignancy in the abdominal cavity. Thus, although rare, a ruptured vagina caused by sexual intercourse should also be considered in the field of surgery, even when a middle-aged woman presents with acute abdominal symptoms without a history of any other traumatic episode.

Key Words

normal coitus peritoneal rupture prolapsed intestine 

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References

  1. 1.
    Anate M (1989) Vaginal trauma at sexual intercourse in Ilorin, Nigeria. An analysis of 36 cases. West Afr J Med 8:217–222Google Scholar
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    Bessho T, Hanaoka S, Date R, Nohira T, Yoneyama K, Shibata J (1991) A case of coital laceration with perforation of fornix and prolapsed intestine (in Japanese). Tokyo J Obstet Gynecol 40:200–203Google Scholar

Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • Hironobu Kimura
    • 1
  • Kiichi Maeda
    • 1
  • Kohji Konishi
    • 1
  • Atsushi Tsuneda
    • 1
  • Kenichi Tazawa
    • 1
  • Mitsuharu Earashi
    • 1
  • Tetsuya Inoue
    • 1
  • Kazuhisa Yabushita
    • 1
  • Yoshitaka Kuroda
    • 1
  • Masahiko Tsuji
    • 1
  1. 1.Department of SurgeryToyama Prefectural Central HospitalToyamaJapan

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