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  • Title: Postcoital vaginal cuff rupture 10 months after a total vaginal hysterectomy. A case report.
    Author: Joy SD, Phelan M, McNeill HW.
    Journal: J Reprod Med; 2002 Mar; 47(3):238-40. PubMed ID: 11933691.
    Abstract:
    BACKGROUND: Transvaginal evisceration following total vaginal hysterectomy secondary to coitus is extremely rare. CASE: A woman presented 10 months following a total vaginal hysterectomy with complaints of progressive postcoital abdominal and shoulder pain as well as a pinkish vaginal discharge. Examination revealed a 3-cm defect at the left edge of the vaginal cuff. Corrective surgery followed overnight observation with pain management. CONCLUSION: Postcoital vaginal cuff disruption is rare, and complications can range from bowel evisceration to hemorrhage. Management should be tailored to the severity of the complications.
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