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Traumatic Pneumoperitoneum After Vaginal Intercourse
John W Thomas1, Clifford James Buckley
1From the Department of Emergency Medicine, Baylor Scott and White Medical Center, Temple, TX.
Pediatric Emergency Care
|May 2, 2020
Summary
Pneumoperitoneum and peritonitis can occur in adolescents after vigorous sexual activity, leading to a perforated vaginal laceration. This rare pediatric emergency highlights the importance of a thorough sexual history in diagnosing acute abdominal pain.
Area of Science:
- Pediatric Surgery
- Emergency Medicine
- Gynecology
Background:
- Pneumoperitoneum with peritonitis is a rare but serious pediatric emergency.
- Patients may present with non-specific symptoms, necessitating a detailed history and physical examination.
Observation:
- An adolescent presented with vaginal bleeding and abdominal pain after vigorous coitus.
- Physical examination revealed a vaginal laceration with extension into the rectovaginal septum.
Findings:
- Laparoscopy confirmed a vaginal laceration and a 2-3 cm perforation involving the rectovaginal septum, leading to pneumoperitoneum.
- The injury extended into the peritoneal cavity.
Implications:
- Vaginal intercourse can be a rare cause of peritonitis in adolescents.
- A comprehensive sexual history is crucial for diagnosing acute abdomen in pediatric patients.
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