• J Emerg Med · May 2012

    Case Reports

    Pneumoperitoneum after sexual assault in a patient who had hysterectomy 30 years ago: case report.

    • Daniel D Im, Peter S Pak, Bennett Cua, and Elyssa Feinberg.
    • Department of Pediatrics, LAC+USC Medical Center, Los Angeles, California 90033, USA.
    • J Emerg Med. 2012 May 1;42(5):540-2.

    BackgroundA non-surgical etiology accounts for approximately 10% of cases of pneumoperitoneum. However, in the patient with pneumoperitoneum, one must be suspicious of the less common non-surgical etiologies, including coitus, to avoid unnecessary laparotomy.ObjectivesTo report a case of pneumoperitoneum caused by coitus during sexual assault in a patient who had a hysterectomy 30 years ago.Case ReportThe authors present a case of non-surgical pneumoperitoneum after sexual assault occurring over 30 years after abdominal hysterectomy.ConclusionThis case is an important reminder that a thorough sexual and gynecologic/obstetrical history is an essential tool in identifying the patient who does not require laparotomy.Copyright © 2012. Published by Elsevier Inc.

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