title: Pneumoperitoneum after sexual assault in a patient who had hysterectomy 30 years ago: case report.
abstract: BACKGROUND
  A non-surgical etiology accounts for approximately 10% of cases of pneumoperitoneum. However, in the patient with pneumoperitoneum, one must be suspicious of the less common non-surgical etiologies, including coitus, to avoid unnecessary laparotomy.
  
  
  OBJECTIVE
  To report a case of pneumoperitoneum caused by coitus during sexual assault in a patient who had a hysterectomy 30 years ago.
  
  
  METHODS
  The authors present a case of non-surgical pneumoperitoneum after sexual assault occurring over 30 years after abdominal hysterectomy.
  
  
  CONCLUSIONS
  This case is an important reminder that a thorough sexual and gynecologic/obstetrical history is an essential tool in identifying the patient who does not require laparotomy.
authors.affiliation: Department of Pediatrics, LAC+USC Medical Center, Los Angeles, California 90033, USA.
authors.forename: Daniel D
authors.initials: DD
authors.lastname: Im
authors.forename: Peter S
authors.initials: PS
authors.lastname: Pak
authors.forename: Bennett
authors.initials: B
authors.lastname: Cua
authors.forename: Elyssa
authors.initials: E
authors.lastname: Feinberg
mesh_terms: D000368:Aged; D003075:Coitus; D005260:Female; D006801:Humans; D007044:Hysterectomy; D011027:Pneumoperitoneum / Q000209:etiology*; D011902:Rape; D014621:Vagina / Q000293:injuries