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Non-surgical pneumoperitoneum after oro-genital intercourse
Shamir O Cawich1, Peter B Johnson, Eric Williams
1Department of Clinical Surgical Sciences, University of the West Indies, St Augustine Campus, Trinidad and Tobago.
International Journal of Surgery Case Reports
|October 15, 2013
Summary
Pneumoperitoneum, or air in the abdominal cavity, can occur without surgery, sometimes after oro-genital sexual activity. Recognizing this non-surgical cause can prevent unnecessary medical interventions.
Area of Science:
- Gastroenterology
- Sexual Health
Background:
- Pneumoperitoneum is typically caused by perforated organs or surgery.
- Non-surgical causes are increasingly reported.
- Oro-genital sexual activity is a rare but documented cause.
Purpose of the Study:
- To report a case of pneumoperitoneum following oro-genital sexual intercourse.
- To highlight the importance of considering non-surgical causes in diagnosing pneumoperitoneum.
- To inform clinicians about this rare condition.
Main Methods:
- Case report of a patient presenting with pneumoperitoneum.
- Review of existing literature on non-surgical pneumoperitoneum.
- Analysis of clinical presentation and management.
Main Results:
- A case of pneumoperitoneum was identified four hours after oro-genital intercourse.
- Nineteen cases of non-surgical pneumoperitoneum from gynecologic causes were previously reported.
- The patient was managed with close clinical observation and symptomatic treatment.
Conclusions:
- Non-surgical pneumoperitoneum from oro-genital intercourse is a rare but recognized entity.
- Gathering detailed sexual history is crucial for accurate diagnosis and avoiding unnecessary procedures.
- Patient education on potential mechanisms can prevent future diagnostic confusion.
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