title: Postcoital vaginal laceration in a patient presenting with signs of small bowel perforation: report of a case.
abstract: Postcoital vaginal rupture or tear is a well-known entity to the gynecologist, albeit unusual; however, such cases are rarely encountered by the general surgeon. The index case is reported to highlight the rare situation wherein a middle-aged woman underwent laparotomy for a suspected small bowel perforation, which revealed a vaginal tear as the cause of pneumoperitoneum. This case emphasizes the importance of taking a gynecological history and performing a gynecological examination when the clinical diagnosis is uncertain.
authors.affiliation: Department of Surgery, Government Medical College Hospital, Chandigarh, India.
authors.forename: P
authors.initials: P
authors.lastname: Lal
authors.forename: P
authors.initials: P
authors.lastname: Mohan
authors.forename: R
authors.initials: R
authors.lastname: Sharma
authors.forename: A
authors.initials: A
authors.lastname: Sehgal
authors.forename: A
authors.initials: A
authors.lastname: Aggarwal
mesh_terms: D003075:Coitus; D003937:Diagnosis, Differential; D004386:Duodenum / Q000473:pathology; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis* / Q000473:pathology; D008875:Middle Aged; D011027:Pneumoperitoneum / Q000175:diagnosis* / Q000209:etiology; D014621:Vagina / Q000293:injuries* / Q000473:pathology