HEMATOPERITONEUM DUE TO COITUS WITHOUT VA GINAL INJURY

A 27-year-old female patient presented in our clinic 14 hours after on set of acute lower abdominal pain during sexual intercourse. Sonograph y showed ascites around the uterus and structures suspected to be clot ted blood. Diagnostic laparoscopy showed in the abdomen about 400 ml o f clotted blood: sources of bleeding were small injuries of the left s acro-uterine ligament. Therapy was not necessary, except careful rinsi ng since hemostasis was already complete. It is important to consider abdominal injuries in cases of abdominal pain after sexual intercourse , even if vulvar or vaginal injuries are absent.