title: Postcoital vaginal cuff rupture 10 months after a total vaginal hysterectomy. A case report.
abstract: BACKGROUND
  Transvaginal evisceration following total vaginal hysterectomy secondary to coitus is extremely rare.
  
  
  METHODS
  A woman presented 10 months following a total vaginal hysterectomy with complaints of progressive postcoital abdominal and shoulder pain as well as a pinkish vaginal discharge. Examination revealed a 3-cm defect at the left edge of the vaginal cuff. Corrective surgery followed overnight observation with pain management.
  
  
  CONCLUSIONS
  Postcoital vaginal cuff disruption is rare, and complications can range from bowel evisceration to hemorrhage. Management should be tailored to the severity of the complications.
authors.affiliation: Department of Obstetrics and Gynecology, University of Florida, Health Science Center, Jacksonville, 653-1 West Eighth Street, Jacksonville, FL 32209, USA. saju.joy@jax.ufl.edu
authors.forename: Saju D
authors.initials: SD
authors.lastname: Joy
authors.forename: Michael
authors.initials: M
authors.lastname: Phelan
authors.forename: H Wyatt
authors.initials: HW
authors.lastname: McNeill
mesh_terms: D015746:Abdominal Pain / Q000209:etiology; D000328:Adult; D003075:Coitus; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000009:adverse effects*; D007410:Intestinal Diseases / Q000209:etiology* / Q000601:surgery; D011183:Postoperative Complications; D011391:Prolapse; D013997:Time Factors; D014621:Vagina / Q000601:surgery*