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Pneumoperitoneum due to peritoneovaginal fistula following hysterectomy
Author(s) -
Massad L.S.,
Santoriello K.,
Berchuck A.
Publication year - 1989
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(89)90265-8
Subject(s) - medicine , pneumoperitoneum , fistula , laparotomy , surgery , hysterectomy , sexual intercourse , closure (psychology) , general surgery , laparoscopy , population , environmental health , economics , market economy
A patient with pneumoperitoneum that developed due to peritoneovaginal fistula following hysterectomy is presented. In addition, we have reviewed the literature and formulated guidelines for the management of this problem. Most patients present following sexual intercourse and in many cases the fistula can be diagnosed radiographically. Laparotomy may be avoided if the cause of the fistula is suspected. Surgical closure of the fistula may be unnecessary since spontaneous closure occurs frequently.