Delayed retropneumoperitoneum following vaginal laceration in a 7-year-old girl.
10.5468/ogs.2016.59.3.249
- Author:
Kyung Jin MIN
1
;
Hyesook IM
;
Sanghoon LEE
;
Jin Hwa HONG
;
Jae Yun SONG
;
Jae Kwan LEE
;
Nak Woo LEE
Author Information
1. Department of Obstetrics and Gynecology, Korea University Medical Center, Seoul, Korea. nwlee@korea.ac.kr
- Publication Type:Case Report
- Keywords:
Child;
Laceration;
Retropneumoperitoneum;
Vagina
- MeSH:
Child*;
Electrocoagulation;
Emergency Service, Hospital;
Female*;
Hemorrhage;
Humans;
Lacerations*;
Laparoscopy;
Laparotomy;
Perineum;
Rectum;
Reference Values;
Retropneumoperitoneum*;
Vagina;
Vital Signs;
Water
- From:Obstetrics & Gynecology Science
2016;59(3):249-252
- CountryRepublic of Korea
- Language:English
-
Abstract:
We describe an unusual case of delayed retropneumoperitoneum caused by a deep vaginal laceration as a result trauma from a water jet in a fountain. A 7-year-old premenarcheal girl presented to the emergency department after experiencing an injury from a water jet at a fountain park. Initially, the patient's vital sign and perineum were within normal range. Because the patient's vital signs became unstable 12 hours after vaginal injury, we carried out abdomino-pelvic computed tomography resulting in retropneumoperitoneum. Arterial bleeding from vaginal lateral wall was founded and controlled by electrocoagulation. No damage to the rectum was laparoscopically confirmed. A diagnostic laparoscopy, not laparotomy, should be considered in cases of retropneumoperitoneum with an ambiguous cause first.
