[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.161.155.6. Please contact the publisher to request reinstatement.
Sign In
Individual Sign In
Create an Account
Institutional Sign In
OpenAthens Shibboleth
[Skip to Content Landing]
Article
February 1985

Vaginal Cuff Dehiscence Presenting as an Acute Abdomen

Author Affiliations

USN
USN San Diego

Arch Surg. 1985;120(2):243-244. doi:10.1001/archsurg.1985.01390260101017

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

To the Editor.—This communication presents an uncommon gynecologic cause of pneumoperitoneum: dehiscence of the vaginal cuff after transvaginal hysterectomy.

Report of a Case.—A 41-year-old woman, gravida O, with a two-year history of biliary colic, complained of a feeling of upper abdominal fullness and bloating with right upper abdominal quadrant pain that lasted for seven hours and was not relieved by glycopyrrolate. She attempted to relieve the pain by sitting in her whirlpool bath and, while there, felt a sudden "pop" in her left lower abdominal quadrant and groin followed by generalized abdominal pain with radiation to the right shoulder. Coughing and abdominal motion significantly exacerbated the pain. The patient had no other gastrointestinal tract or gynecologic symptoms and specifically denied recent coitus or unusual sexual activity.

Her medical history was pertinent for an appendectomy performed 20 years previously and a transvaginal hysterectomy performed for contraception four months prior

References
1.
Christiansen WC, Danel DF, McGee HJ:  Pneumoperitoneum following vaginal insufflation and coitus . Ann Emerg Med 1982;9:480-482.Article
2.
Apesos J, Srivastava JK, Williams C, et al:  Postcoital pneumoperitoneum . Obstet Gynecol 1980;55( (suppl) ):475-495.
3.
Spaulding LB, Gallup DG:  Pneumoperitoneum after hysterectomy . JAMA 1979;241:825.Article
4.
Vazquez RM:  Unusual cause for right upper quadrant pain and pneumoperitoneum . JAMA 1977;237:2845.Article
×