Hemoperitoneum as a result of coital injury without associated vaginal injury

Article Abstract:

Five case reports are presented of women who suffered coital injuries (injuries resulting from sexual intercourse) that led to bleeding into the abdominal cavity (hemoperitoneum); in all cases, the vagina remained uninjured. The patients began to experience pain a few hours after intercourse; in one case, pain began during intercourse. All were treated surgically and released after a few days. Predisposing factors to coital trauma include pregnancy, vigorous intercourse, positions associated with deep penetration, vaginismus (contraction of vaginal muscles), genital disproportion, postmenopausal atrophy, genital operations or injuries, and rape (which had not occurred in the cases discussed). The report illustrates the importance of considering coital trauma as a cause of pelvic pain, even when the external genitalia appear unaffected. (Consumer Summary produced by Reliance Medical Information, Inc.)

Injuries, Causes of, Sexual intercourse, Vagina, Hemoperitoneum

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It was the best of times, it was the worst of times: medicine in the 1990s

Article Abstract:

The president of the Central Association of Obstetricians and Gynecologists believes doctors must take back the practice of medicine from managed care plans, government regulators, and malpractice lawyers. He recommends unionizing, but believes boycotts would serve patients better than strikes.

Analysis, Medicine

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Episiotomy dehiscence that required intestinal diversion

Article Abstract:

Postpartum episiotomy dehiscence is a rare complication of vaginal delivery that was seen in a 40-year old woman at 38 weeks of gestation. The case pertaining to this woman is the only reported case of episiotomy dehiscence that required temporary intestinal diversion.

United States, Case studies, Complications and side effects, Vaginal birth after cesarean, Dehiscence, Surgical wound dehiscence

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