Delayed retropneumoperitoneum following vaginal laceration in a 7-year-old girl
Obstetrics & Gynecology Science
;
: 249-252, 2016.
Article
in English
| WPRIM
| ID: wpr-123077
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.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Perineum
/
Rectum
/
Reference Values
/
Retropneumoperitoneum
/
Vagina
/
Water
/
Laparoscopy
/
Lacerations
/
Electrocoagulation
/
Emergency Service, Hospital
Limits:
Child
/
Female
/
Humans
Language:
English
Journal:
Obstetrics & Gynecology Science
Year:
2016
Type:
Article
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