title: Transvaginal intra-abdominal impalement injury.
abstract: Impalement injuries due to sexual activity are highly unusual and variable. We have described a case of transvaginal impalement injury of the rectum, bladder, omentum, and mesentery manifested by vaginal bleeding. The patient could not recount how she had been injured. Management of such an injury requires extensive initial evaluation and a multidisciplinary approach to therapy.
authors.affiliation: Department of Surgery, St. Elizabeth's Hospital, Boston, MA 02135.
authors.forename: D
authors.initials: D
authors.lastname: Kennedy
authors.forename: R
authors.initials: R
authors.lastname: Becher
authors.forename: R
authors.initials: R
authors.lastname: LaFerte
authors.forename: U
authors.initials: U
authors.lastname: Lee
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D000328:Adult; D004630:Emergencies; D005260:Female; D006470:Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D009104:Multiple Trauma / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D012725:Sexual Behavior; D014621:Vagina; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery