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Related Experiment Videos

Pneumoperitoneum after rough sexual intercourse.

Eric K Johnson1, Yong U Choi, Stephen W Jarrard

  • 1Department of Surgery, Dwight David Eisenhower Army Medical Center, Fort Gordon, Georgia, USA.

The American Surgeon
|May 16, 2002
PubMed
Summary
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Nonsurgical pneumoperitoneum, or free air in the abdomen, can mimic surgical emergencies. A case highlights rough sexual intercourse as an unusual cause, presenting a diagnostic challenge.

Area of Science:

  • Gynecology
  • Radiology
  • Emergency Medicine

Background:

  • Pneumoperitoneum, characterized by free intraperitoneal air, typically indicates a perforated viscus requiring urgent surgery.
  • Clinical signs like rebound tenderness and guarding often lead to surgical exploration.
  • Nonsurgical etiologies of pneumoperitoneum are diverse and can pose diagnostic challenges.

Observation:

  • A patient presented with radiographic evidence of pneumoperitoneum and signs suggestive of peritonitis, leading to a negative laparotomy.
  • Postoperatively, the patient revealed a history of recent rough sexual intercourse.
  • This history identified sexual activity as the cause of the nonsurgical pneumoperitoneum.

Findings:

  • Nonsurgical pneumoperitoneum can arise from various causes, including gynecologic and iatrogenic factors.

Related Experiment Videos

  • Rough sexual intercourse was identified as the specific cause in this reported case.
  • The case underscores the importance of considering uncommon etiologies for pneumoperitoneum.

    • Implications:

    • Pneumoperitoneum necessitates careful evaluation to differentiate surgical from nonsurgical causes.
    • A detailed sexual and gynecologic history is crucial for identifying patients with nonsurgical pneumoperitoneum.
    • While many cases require laparotomy, recognizing unusual causes can prevent unnecessary surgery.