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At least 19 recordsLinked to original sources
PubMed1990

Hemoperitoneum as a result of coital injury without associated vaginal injury.

Hemoperitoneum as a result of coital injury without associated vaginal injury is an extremely rare entity, and evidence by only five cases that have been reported in the medical literature to date. We report five additional cases encountered in two medical centers. Two of these were ruptured corpus luteum cysts, one was a laceration of the round ligament, another was a laceration of an ovary, and the fifth was rupture of a serous cystadenoma. This diagnosis should be considered in patients with hemoperitoneum after coitus.

Adult↗
PubMed1998

Vaginal injury from a water slide in a premenarcheal patient.

BACKGROUND: Water under high pressure can produce vaginal injury. Previous reports suggest that postmenarcheal maturation and the presence of a vaginal foreign body contributed to water slide injuries in women. METHODS: A case of a vaginal injury from a water slide in a premenarcheal patient is presented. A literature review of water-related vaginal injuries in adults and children compares the mechanism of injury with that previously reported. RESULTS: The patient underwent operative repair of her injury. CONCLUSIONS: Vaginal injury in premenarcheal patients may result from a water slide. The emergency physician must be aware of this potential injury mechanism and the need for complete examination under anesthesia when vaginal bleeding is present.

Adolescent↗
PubMed1995

[Vaginal injuries during coitus: 98 cases].

UNLABELLED: We have undertaken a prospective study of vaginal injuries due to coitus with the aim of evaluating their incidence, risk factors and anatomic lesions. Over a period of 39 months, 98 cases were found, giving a monthly incidence of 2.5. The patients had a mean age of 25 years, were paucipara in more than 50%. Sexual abstience was found in 72 cases with a mean duration of 6 months. This injury occurred more often in gynecological period than in the postpartum (77 cases versus 22). During sexual intercourse the most harmful position was when the patient was in dorsal decubitus with maximum flexion and abduction of the limbs. The vaginal injury was located in the posterior cul de sac in 39 cases and was of 5 cm of length in 56%. Surgical suture was required in 92 out of 98 patients, in combination with local and general antibiotics. CONCLUSION: Vaginal injuries due to coitus are frequent in our practice and they create serious anatomic lesions. So there is a need to precise the etiopathogenicity (hormonal deficiency ?, infections ?, role of the male partner) and to evaluate the long term sequellas.

Adolescent↗
PubMed2005

Vaginal injuries during coitus in Calabar: a 10-year review.

UNLABELLED: Injuries during coitus could result in considerable morbidity and mortality in women. Identifying their pattern of presentation and predisposing factors will aid in their prevention. STUDY DESIGN AND SETTING: A descriptive study of patients with coital injuries seen in the University of Calabar Teaching Hospital (U.C.T.H) Calabar, between 1991 and 2000, with data obtained from case records. RESULTS: Coital injuries constituted 0.7/1000 gynaecological emergencies. Rape (68.0%) was the commonest aetiological factor. It was more common in nulliparous patients (88.0%) and toddlers and teenagers formed the age group most affected. The lower vagina was the most common site of injury (44.0%). Vaginal bleeding was the commonest mode of presentation and hypovolaemic shock, the most common complication. CONCLUSION: Rape is the commonest cause of coital injury in Calabar. Coital injuries should be considered as a differential diagnosis in all cases of abnormal vaginal bleeding particularly in children.

Adolescent↗
PubMed1986

Management of serious vaginal injury. A case report.

Hemorrhage was the major complication of a serious vaginal injury. Failure to control such a hemorrhage with local suturing should prompt an exploratory celiotomy and ligation of the visible bleeding points. Hypogastric artery ligation is indicated in cases of intractable bleeding.

Adult↗
PubMed1992

Lactate dehydrogenase isoenzyme patterns in vaginal injury of a 4-year-old girl.

Lactate dehydrogenase isoenzyme patterns indicative of vaginal injury were identified in extracts of a bloodstain on a pair of knickers belonging to a 4-year-old girl. No evidence of semen or saliva was detected in the stain. The result corroborated the clinical findings and provided strong evidence of child sexual abuse.

Child Abuse, Sexual↗
PubMed1998

[Vaginal injuries during coitus].

Based on a prospective study on a continuous series of women admitted on emergency for post-coitus hemorrhage. The authors present an epidemiology and prognosis of vaginal injuries in to coitus in the Dakar University Teaching Hospital. Over a period of 33 months (October 1991 to December 1994), 106 cases were recorded, giving an incidence rate of 32 cases per year. The average profile is that of young women (26 years), usually during the post-partum period (41.5%) or in the second phase of menstrual cycle (32%). The main influencing factors found included: chronic vaginal infection (74%), position during coitus (especially that dorsal decubitus with hyperflexion and abduction of the lower members (56%), sexual abstinence of 3 months on average (21 days to 2 years), and use of aggressive product "aphrodisiac" for vaginal mucus. The damage was most often located at the bottom of dead end of Douglas and could be estimated at 5 cm long and 5 mm deep. The immediate prognosis was favourable, after stitching with absorbable thread, healing was obtained within 8 to 15 days. Given a retrospective view about 2 to 5 years, morbidity was represented by 3 recurrent cases and 13% after effects of the deep dyspareunia type.

Adolescent↗
PubMed1977

Cervico-vaginal injuries in cases of second trimester termination of pregnancy.

Midtrimester abortions were induced in 796 women by Hypertonic Saline and Prostaglandins. Intra-amniotic and Extra-amniotic routes were used for saline and Intra-amniotic, Extra-amniotic andaline and Intra-amniotic, Extra-amniotic and Intra-muscular routes were used for Prostaglandins. Seven patients had cervico-vaginal injuries. All were young nulliparous patients. None of them developed any signs and symptoms of shock. Five out of the seven injuries were posteriorly situated. The etio-pathology and preventive measures of such injuries are discussed here.

Abortion, Induced↗
PubMed1985

Vaginal injuries in patients with pelvic fractures.

Of 114 females with pelvic fracture encountered over the past 10 years, four (3.5%) had vaginal laceration. Detection of open fracture was immediate in three; two were repaired and recovered uneventfully. The third was recognized to have a laceration that was repaired but she died of other complications after 2 days. Diagnosis of laceration was delayed 72 hours in the fourth patient who developed extensive pelvic abscess requiring multiple drainage procedures. Our experience confirms the importance of early detection and repair of vaginal laceration in females with pelvic fracture to prevent pelvic abscess.

Abscess↗
PubMed1992

Vaginal injury resulting from sliding down a water chute.

A 27-year-old woman was admitted to the hospital because of profuse vaginal bleeding from a vaginal laceration caused by the impact of water to the perineum after sliding down a water chute. At the time of the accident the patient was using a vaginal tampon. The potential mechanism for this trauma is discussed.

Adult↗