Postcoital vaginal rupture in a young woman with no prior pelvic surgery.

Abstract

INTRODUCTION:

Reports of postcoital vaginal rupture in the literature are limited to cases involving women who are postmenopausal, have recently undergone pelvic surgery, or have suffered genitourinary trauma.

AIM:

We report a case of postcoital vaginal rupture in a 23-year-old woman with no prior surgical history who complained of acute onset, severe vaginal pain after consensual intercourse.

RESULTS:

Examination under anesthesia revealed a 6-cm laceration of the posterior fornix, which extended into the abdominal cavity. The laceration was repaired using a combined vaginal and laparoscopic approach.

CONCLUSIONS:

Coitus-induced vaginal rupture in a reproductive aged woman with no prior pelvic surgery or other risk factors is a rare clinical presentation. Prior reports of rupture in premenopausal women have recommended repair via laparotomy. This case documents successful transvaginal and laparoscopic repair, and reviews the etiological mechanisms for coitus-induced injury.

• Authors: Jennifer M Austin, Christie M Cooksey, Laura L Minikel, Eve F Zaritsky
• Journal: The journal of sexual medicine (J Sex Med) Vol. 10 Issue 8 Pg. 2121-4 (Aug 2013) ISSN: 1743-6109 [Electronic] Netherlands
• PMID: 22429501 (Publication Type: Case Reports, Journal Article)
• Copyright: © 2012 International Society for Sexual Medicine.

Topics

• Adult
• Coitus
• Female
• Humans
• Lacerations (etiology)
• Rupture (etiology, surgery)
• Vagina (injuries, surgery)