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Case Reports
. 2016 May;59(3):249-52.
doi: 10.5468/ogs.2016.59.3.249. Epub 2016 May 13.

Delayed retropneumoperitoneum following vaginal laceration in a 7-year-old girl

Kyung-Jin Min  1 , Hyesook Im  1 , Sanghoon Lee  1 , Jin Hwa Hong  1 , Jae-Yun Song  1 , Jae-Kwan Lee  1 , Nak Woo Lee  1
Affiliations
Case Reports

Delayed retropneumoperitoneum following vaginal laceration in a 7-year-old girl

Kyung-Jin Min et al. Obstet Gynecol Sci. 2016 May.

Abstract

We describe an unusual case of delayed retropneumoperitoneum caused by a deep vaginal laceration as a result trauma from a water jet in a fountain. A 7-year-old premenarcheal girl presented to the emergency department after experiencing an injury from a water jet at a fountain park. Initially, the patient's vital sign and perineum were within normal range. Because the patient's vital signs became unstable 12 hours after vaginal injury, we carried out abdomino-pelvic computed tomography resulting in retropneumoperitoneum. Arterial bleeding from vaginal lateral wall was founded and controlled by electrocoagulation. No damage to the rectum was laparoscopically confirmed. A diagnostic laparoscopy, not laparotomy, should be considered in cases of retropneumoperitoneum with an ambiguous cause first.

Keywords: Child; Laceration; Retropneumoperitoneum; Vagina.

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Conflict of interest statement

Conflict of interest: No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1. Abdomino-pelvic computed tomography showing extensive pneumoretroperitoneum around the rectum. (A) Transverse section and (B) coronal section. b, bladder; R, retropneumoperitoneum; r, rectum.
See this image and copyright information in PMC

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