J Surg Tech Proced | Volume 6, Issue 1 | Case Report | Open Access

Rectovaginal Rupture after Consensual Vaginal Intercourse: A Rare Case and Review of the Literature

Gionga P^1*, Panidis S¹ , Chorti A¹ , Tzikos G¹ , Vouchara A¹ , Pentara NV² , Pana A³ , Ioannidis A¹ , Paramythiotis D¹ , Michalopoulos A¹

¹Propaedeutic Surgical Department, University Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki, Thessaloniki, Greece ²Department of Radiology, University Hospital of Thessaloniki AHEPA, Aristotle University of Thessaloniki, Thessaloniki, Greece ³Department of Obstetrics and Gynecology, Papageorgiou Hospital, Thessaloniki, Greece  

^*Correspondance to: Persefoni Gionga 

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Abstract

Background: According to the literature, the postcoital rectovaginal rupture is a traumatic injury related to nonconsensual intercourse or the insertion of foreign objects. Case Report: We are presenting a rare case of rectovaginal rupture as a result of consensual vaginal intercourse, along with a review of the relevant literature. A 30-year-old woman came to the emergency department with vaginal and rectal bleeding after self-reported consensual coitus. It was mentioned no insertion of a foreign object in the vagina or in the anus. During the rectal examination that followed, it was detected a rupture of the anterior rectal wall. Intraoperatively, a ruptured posterior vaginal wall with wide communication with the rectum extending to the anal sphincters was ascertained. Primary repair of the rupture and end sigmoidostomy was performed successfully. Conclusion: Injuries involving the sphincter mechanism of the anus are extremely rare in the literature.

Keywords:

Rectal injury; Vaginal injury; Coital injury

Citation:

Gionga P, Panidis S, Chorti A, Tzikos G, Vouchara A, Pentara NV, et al. Rectovaginal Rupture after Consensual Vaginal Intercourse: A Rare Case and Review of the Literature. J Surg Tech Proced. 2022;6(2):1055..