Syndrome of pelvic cellulitis following rectal sexual trauma

Three cases of a syndrome of pelvic cellulitis following fist fornication are described. These cases are characterized by the history of fist fornication three or more days previously, fever, pararectal induration, acute proctitis and signs of pelvic peritoneal irritation. It is important to recognize this entity as it is usually adequately treated by means of broad spectrum antibiotics. Operative intervention can usually be avoided.