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Postcoital rupture that is vaginal hysterectomy presenting as generalised peritonitis

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Postcoital rupture that is vaginal hysterectomy presenting as generalised peritonitis

Postcoital rupture that is vaginal an unusual but well documented problem of hysterectomy. Evisceration for the intestine that is small genital bleeding and pelvic discomfort are normal presenting features. We report the case that is unusual of rupture presenting with generalised peritonitis without genital evisceration.

Postcoital genital rupture is an uncommon but well documented problem of hysterectomy. Evisceration for the little intestine is a very common presenting function and can even be combined with genital bleeding and pelvic discomfort. These signs often happen during or soon after sexual intercourse in addition to diagnosis is self obvious. We report the unusual instance of genital rupture presenting with generalised peritonitis without genital evisceration 4 times after sexual intercourse and 10 months after a laparoscopic hysterectomy.

Situation history

A woman that is 35-year-old into the accident and crisis division by having a 4-day reputation for abdominal discomfort. The pain was generalised, progressive and colicky in the wild. It had been related to anorexia, vomiting and constipation for 48 hours. She admitted to being intimately active but denied any unusual genital release or bleeding. At that time, neither had been she asked directly whether or not the start of discomfort coincided with sexual activity nor did she volunteer these records. 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.
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