Pneumoperitoneum after Sexual Assault in a Patient Who Had Hysterectomy 30 Years Ago: Case Report

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• 作者：Daniel D. Im ; MD^&lowast ; ; ; Peter S. Pak ; MD^&dagger ; ; Bennett Cua ; MD^&Dagger ; ; Elyssa Feinberg ; MD^§ ;
• 关键词：pneumoperitoneum ; sexual assault ; hysterectomy
• 刊名：Journal of Emergency Medicine
• 出版年：2012
• 期刊代码：156_07364679
• 类别：med
• 出版时间：May, 2012
• 卷：42
• 期：5
• 页码：540-542
• 文件大小：248 K

摘要

Background

A non-surgical etiology accounts for approximately 10%of cases of pneumoperitoneum. However, in the patient with pneumoperitoneum, one must be suspicious of the less common non-surgical etiologies, including coitus, to avoid unnecessary laparotomy.

Objectives

To report a case of pneumoperitoneum caused by coitus during sexual assault in a patient who had a hysterectomy 30 years ago.

Case Report

The authors present a case of聽non-surgical pneumoperitoneum after sexual assault occurring over 30 years after abdominal hysterectomy.

Conclusion

This case is an important reminder that聽a thorough sexual and gynecologic/obstetrical history is an essential tool in identifying the patient who does not require laparotomy.