Life threatening vaginal haemorrhage from coital laceration in a post-menopausal woman
Abstract
Background: Life threatening coital laceration from consensual intercourse in the postmenopausal period is unusual without any predisposing factors(s). The usual site of occurrence is the right side of the posterior fornix. Aim: To report a case of haemorrhagic shock from coital laceration. Design: Case report Case report: A 55-year-old woman who presented as an emergency with haemorrhagic shock following vaginal bleeding from consensual coitus is presented. She was resuscitated with intravenous fluids and blood transfusions. The vaginal laceration of about 5 cm on the right side of the posterior fornix was sutured following examination under anaesthesia. Conclusion: Coital laceration should be considered a differential diagnosis in any postmenopausal vaginal bleeding while prompt recognition and treatment are important to avoid morbidity and even mortality.
Keywords: Life threatening, Postmenopausal, Coital, Laceration, Posterior fornix
Port Harcourt Medical Journal Vol. 2 (3) 2008: pp. 275-277
Published
2008-07-28
Issue
Section
Articles
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Manuscripts published do not necessarily reflect the opinion of the Editorial Board but that of the author(s).