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Obstetrics & Gynecology 1972;40:218-220
© 1972 by The American College of Obstetricians and Gynecologists
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Pneumoperitoneum After Coitus

A Complication Due to Uterine Tube Prolapse After Vaginal Hysterectomy

JOSEPH TABRISKY, MD, LLOYD P. MALLIN, MD, FACOG and JAMES A. SMITH, III MD

From the Departments of Radiology, Obstetrics and Gynecology and Surgery, Southern California Permanente Medical Group and Kaiser Foundation Hospital, Harbor City, Calif 90710.

Abstract

A 40-year-old female developed mild pleuritic pain and pneumoperitoneum after coitus. The air had entered the peritoneal cavity through a prolapsed uterine tube secondary to vaginal hysterectomy. Pneumoperitoneum after coitus is rarely substantiated as a diagnostic possibility. The usual mild symptomatology should alert the physician and obviate unnecessary laparotomy.






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