PROLAPSE OF THE SMALL-INTESTINE THROUGH A RUPTURED VAGINA CAUSED DURING SEXUAL INTERCOURSE - REPORT OF A CASE

We report herein the rare case of a 56-year-old woman who suffered vag inal rupture into the peritoneal cavity during sexual intercourse, thr ough which the small intestine prolapsed out from the vaginal opening. The patient had undergone abdominal hysterectomy 4 years earlier. An emergency laparotomy was performed which revealed rupture in the poste rior fornix of the vagina and peritonium through which prolapse of the small intestine had occurred, The prolapsed intestine was pulled back into the pelvic cavity, and the vagina and peritonium were repaired. Macroscopically, the operative findings revealed no inflammatory chang es or evidence of malignancy in the abdominal cavity. Thus, although r are, a ruptured vagina caused bl sexual intercourse should also be con sidered in the field of surgery, even when a middle-aged woman present s with acute abdominal symptoms without a history of any other traumat ic episode.