Journal of Emergencies, Trauma, and Shock
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MATERNOFETAL EMERGENCIES
Year : 2010  |  Volume : 3  |  Issue : 3  |  Page : 299

Postcoital vaginoperitoneal fistula after hysterectomy for gynecological malignancy


Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi - 110 029, India

Correspondence Address:
Shilpa Singla
Department of Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0974-2700.66547

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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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