Consensual intercourse resulting in an extensive rectovaginal tear: an extremely rare occurrence.
BACKGROUND
Rectovaginal tears are usually associated with the insertion of foreign bodies, accidental trauma, and nonconsensual intercourse.


OBJECTIVE
The aim of this study was to describe an extremely rare case of extensive rectovaginal tear as a result of consensual vaginal and anal intercourse.


METHODS
A case is presented along with review of the literature.


RESULTS
A 20-year-old woman presented with acute perineal pain and minor vaginal bleeding following consensual vaginal and anal intercourse. No insertion of sex toy or any other object was reported. Vaginal and rectal examination revealed a ruptured posterior vaginal wall with wide communication with the rectum, without involvement of the anal sphincters. Surgical treatment with primary repair of the tear and diverting colostomy was performed.


CONCLUSIONS
Although consensual intercourse is usually associated with minor genital trauma, rare but potentially serious injuries can occur. Clinicians should be aware of the possibility of such injuries because failure to identify them can lead to delayed treatment and poor outcome.
2nd Propedeutical Department of Surgery, School of Health Sciences, Hippokratio General Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Nikolaos
N
Symeonidis
Konstantinos
K
Ballas
Aikaterini
A
Micha
Kyriakos
K
Psarras
Theodoros
T
Pavlidis
D000328:Adult; D001003:Anal Canal / Q000293:injuries; D003075:Coitus; D003125:Colostomy; D005260:Female; D005831:Genital Diseases, Female / Q000209:etiology / Q000601:surgery*; D006801:Humans; D022125:Lacerations / Q000209:etiology / Q000601:surgery*; D012007:Rectum / Q000293:injuries* / Q000601:surgery; D012725:Sexual Behavior; D013536:Suture Techniques; D013997:Time Factors; D016896:Treatment Outcome; D014621:Vagina / Q000293:injuries* / Q000601:surgery
Colostomy; Consensual Intercourse; Rectovaginal Tear; Vaginal Perforation