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首页> 外文期刊>The journal of sexual medicine >Postcoital vaginal rupture in a young woman with no prior pelvic surgery
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Postcoital vaginal rupture in a young woman with no prior pelvic surgery

机译：一名未做过骨盆手术的年轻妇女性交后阴道破裂

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Introduction. Reports of postcoital vaginal rupture in the literature are limited to cases involving women who are postmenopausal, have recently undergone pelvic surgery, or have suffered genitourinary trauma. Aim. We report a case of postcoital vaginal rupture in a 23-year-old woman with no prior surgical history who complained of acute onset, severe vaginal pain after consensual intercourse. Results. Examination under anesthesia revealed a 6-cm laceration of the posterior fornix, which extended into the abdominal cavity. The laceration was repaired using a combined vaginal and laparoscopic approach. Conclusions. Coitus-induced vaginal rupture in a reproductive aged woman with no prior pelvic surgery or other risk factors is a rare clinical presentation. Prior reports of rupture in premenopausal women have recommended repair via laparotomy. This case documents successful transvaginal and laparoscopic repair, and reviews the etiological mechanisms for coitus-induced injury.
机译：介绍。文献中关于性交后阴道破裂的报道仅限于绝经后，最近接受过骨盆手术或遭受泌尿生殖道创伤的妇女。目标。我们报道了一名23岁，无手术史的女性发生性交后阴道破裂的病例，该患者抱怨经自愿性交后出现急性发作，严重的阴道疼痛。结果。麻醉下检查发现后穹ni有6厘米的裂伤，延伸至腹腔。使用阴道和腹腔镜联合方法修复撕裂伤。结论。在没有事先盆腔手术或其他危险因素的情况下，育龄妇女的性交诱发的阴道破裂是一种罕见的临床表现。绝经前女性破裂的先前报道建议通过剖腹手术进行修复。该病例记录了成功的经阴道和腹腔镜修复，并回顾了性交引起的损伤的病因机制。

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