Delayed retropneumoperitoneum following vaginal laceration in a 7-year-old girl.

Abstract

We describe an unusual case of delayed retropneumoperitoneum caused by a deep vaginal laceration as a result trauma from a water jet in a fountain. A 7-year-old premenarcheal girl presented to the emergency department after experiencing an injury from a water jet at a fountain park. Initially, the patient's vital sign and perineum were within normal range. Because the patient's vital signs became unstable 12 hours after vaginal injury, we carried out abdomino-pelvic computed tomography resulting in retropneumoperitoneum. Arterial bleeding from vaginal lateral wall was founded and controlled by electrocoagulation. No damage to the rectum was laparoscopically confirmed. A diagnostic laparoscopy, not laparotomy, should be considered in cases of retropneumoperitoneum with an ambiguous cause first.

• Authors: Kyung-Jin Min, Hyesook Im, Sanghoon Lee, Jin Hwa Hong, Jae-Yun Song, Jae-Kwan Lee, Nak Woo Lee
• Journal: Obstetrics & gynecology science (Obstet Gynecol Sci) Vol. 59 Issue 3 Pg. 249-52 (May 2016) ISSN: 2287-8572 [Print] Korea (South)
• PMID: 27200319 (Publication Type: Case Reports)