Vaginal evisceration after forcible coitus with intraabdominal ejaculation.

Area of Science:

• Reproductive Medicine
• Trauma Surgery
• Forensic Medicine

Background:

• Vaginal evisceration is a rare and severe gynecological emergency.
• It typically results from significant blunt abdominal trauma or surgical complications.
• This case presents a unique etiology following consensual sexual activity.

Observation:

• A healthy young woman presented with vaginal evisceration post-forcible coitus.
• No anatomical defects or prior pelvic surgeries were noted.
• Cytological examination confirmed intraabdominal ejaculation.

Findings:

• The findings indicate penile penetration into the pouch of Douglas.
• This resulted in the herniation of intraabdominal contents through the vaginal canal.
• The event underscores the potential for severe internal injury during sexual activity.

Implications:

• This case expands the known etiologies of vaginal evisceration.
• It highlights the importance of considering sexual activity as a potential cause of severe pelvic trauma.
• Management strategies for such injuries require careful consideration of the unique circumstances.