Postcoital vaginal laceration in a patient presenting with signs of small bowel perforation: Report of a case

Postcoital vaginal rupture or tear is a well-known entity to the gynecologi st, albeit unusual; however, such cases are rarely encountered by the gener al surgeon. The index case is reported to highlight the rare situation wher ein a middle-aged woman underwent laparotomy for a suspected small bowel pe rforation, which revealed a vaginal tear as the cause of pneumoperitoneum. This case emphasizes the importance of taking a gynecological history and p erforming a gynecological examination when the clinical diagnosis is uncert ain.