Postcoital vaginoperitoneal fistula after hysterectomy for gynecological malignancy | Zendy

Shilpa Singla | Zendy; SuneshKumar Jain | Zendy

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Postcoital vaginoperitoneal fistula after hysterectomy for gynecological malignancy

Author(s) -

Shilpa Singla,

SuneshKumar Jain

Publication year - 2010

Publication title -

journal of emergencies trauma and shock

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.313

H-Index - 29

eISSN - 0974-519X

pISSN - 0974-2700

DOI - 10.4103/0974-2700.66547

Subject(s) - medicine , pneumoperitoneum , fistula , surgery , vaginal vault , abdomen , perforation , hysterectomy , malignancy , ovarian carcinoma , pelvis , general surgery , laparoscopy , ovarian cancer , cancer , materials science , punching , metallurgy

A true incidence of postcoital fistula is not known as it is seldom suspected. It presents as acute pneumoperitoneum with signs and symptoms same as that of perforation of a hollow viscus. A 38-year-old parous woman presented with postcoital fistula 10 weeks after panhysterectomy for carcinoma ovary stage IIIc. Pneumoperitoneum was detected, with large amount of gas under the diaphragm on radiograph of the abdomen. A breach was found in the vaginal vault. All other causes of fistula were excluded. Fistula healed spontaneously on follow-up.

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