Postcoital vaginal cuff rupture 10 months after a total vaginal hysterectomy. A case report.
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.
Joy
Saju D
SD
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
Phelan
Michael
M
McNeill
H Wyatt
HW
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*