Vaginal Laceration with Prolapse of Intestine following Sexual Intercourse: A Case Report

Abstract

Summary:

This is a case presentation of a 16-year-old female who presented to the emergency department with sudden onset of severe vaginal bleeding and lower abdominal pain following consensual but aggressive sexual intercourse with a male partner. There was an initial history of her receiving care from an unskilled attendant. Subsequently, she was admitted in our hospital following a sudden onset of bleeding per vagina and a small bowel prolapse per vagina. On examination, she was hemodynamically stable, pelvic examination revealed a 6 cm posterior laceration of the vagina with loops of small intestine visible at the introitus. The patient was immediately stabilized with intravenous fluids and blood transfusion and subsequently had emergency exploratory laparotomy. She tolerated the procedure well, and there were no intraoperative complications. This case report illustrates the potential for serious coital injuries resulting from aggressive sexual practices. Prompt recognition, prompt and appropriate steps by a patient and surgical intervention are critical to preventing worsening outcomes.