title: Post-coital posterior fornix perforation with peritonitis and haemoperitoneum.
abstract: BACKGROUND
  Vaginal injuries are common outside of obstetric practice. Post coital posterior fornix perforation and intra-abdominal bleeding is however an uncommon cause for laparotomy.
  
  
  METHODS
  We present two cases of posterior fornix perforation with hypovolemic shock after sexual intercourse in two young women. In both cases there was a delay in the diagnosis because there was illicit sex. Both women however eventually had laparotomy and uneventful post-operative outcomes.
  
  
  CONCLUSIONS
  This is an uncommon condition but it is important to suspect it in sexually active women. Previous reports that it was only found in females with vaginal thinning (children and postmenopausal women) are refuted by these two cases and the importance of interviewing women without a chaperone to get the true story is highlighted for prompt treatment.
  
  
  CONCLUSIONS
  Acute post-coital vaginal injuries should be suspected in women who present to hospital with vaginal bleeding and abdominal pain.
authors.affiliation: Department of Obstetrics and Gynaecology, University of the West Indies, Mona, Kingston, Jamaica. Electronic address: horace.fletcher@uwimona.edu.jm.
authors.forename: Horace
authors.initials: H
authors.lastname: Fletcher
authors.forename: Ian
authors.initials: I
authors.lastname: Bambury
authors.forename: Michelle
authors.initials: M
authors.lastname: Williams