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Postcoital vaginal cuff rupture 10 months after a total vaginal hysterectomy. A case report
Saju D Joy1, Michael Phelan, H Wyatt McNeill
1Department of Obstetrics and Gynecology, University of Florida, Health Science Center, Jacksonville, 653-1 West Eighth Street, Jacksonville, FL 32209, USA. saju.joy@jax.ufl.edu
Background:
Transvaginal evisceration following total vaginal hysterectomy secondary to coitus is extremely rare.
Case:
A woman presented 10 months following a total vaginal hysterectomy with complaints of progressive postcoital abdominal and shoulder pain as well as a pinkish vaginal discharge. Examination revealed a 3-cm defect at the left edge of the vaginal cuff. Corrective surgery followed overnight observation with pain management.
Conclusion:
Postcoital vaginal cuff disruption is rare, and complications can range from bowel evisceration to hemorrhage. Management should be tailored to the severity of the complications.