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Case Report
An unusual cause of pneumoperitoneum—Traumatic vaginal dehiscence six months after hysterectomy
1 MD, Resident of General Surgery in the General Surgery Department of Hospital de Santa Luzia, Viana do Castelo, Portugal
2 MD, Surgeon in the General Surgery Department of Hospital de Santa Luzia, Viana do Castelo, Portugal
3 MD, Director of the General Surgery Department of Hospital de Santa Luzia, Viana do Castelo, Portugal
Address correspondence to:
Telma Rodrigues Brito
Estrada de Santa Luzia, 4904-858 Viana do Castelo,
Portugal
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Article ID: 101053Z01TB2019
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How to cite this article
Brito TR, Gomes D, Rodrigues AC, Ventura J, Ferreira S, Midões A. An unusual cause of pneumoperitoneum—Traumatic vaginal dehiscence six months after hysterectomy. Int J Case Rep Images 2019;10:101053Z01TB2019.ABSTRACT
Introduction: Intraperitoneal free air usually results of the perforation of a hollow viscus. A high degree of suspicion based on previous medical history can identify a gynecologic origin.
Case Report: We present a case where pneumoperitoneum was caused by traumatic postcoital partial vaginal cuff dehiscence six months after hysterectomy in a patient without risk factors for poor wound healing.
Conclusion: This case highlights the importance of considering the less common causes of pneumoperitoneum and therefore conducting an exhaustive clinical history and physical examination. At the same time, it highlights the difficulty in providing recommendations about the safe period after surgery before the beginning of intercourse.
Keywords: Hysterectomy, Pneumoperitoneum, Vaginal cuff rupture
SUPPORTING INFORMATION
Author Contributions
Telma Rodrigues Brito - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Diana Gomes - Acquisition of data, Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Ana Cristina Rodrigues - Acquisition of data, Revising it critically for important intellectual content, Final approval of the version to be published
Jesus Ventura - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Sandra Ferreira - Interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Alberto Midões - Substantial contributions to conception and design, Acquisition of data, Analysis of data, Interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2019 Telma Rodrigues Brito et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
