Primary spontaneous complete posterior colporrhexis during labour: a rare case report

Kabra, Shashi Lata; Goyal, Ritu; Jain, Reema; Kadam, VK

doi:10.18203/2320-1770.ijrcog20162152

Cited by 1 publication

(4 citation statements)

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“…It could also be classified as complete tear where the whole vaginal wall is involved including vaginal epithelium, muscularis layer and overlying peritoneum and incomplete where the peritoneum is spared. (1,3) Laceration of the upper third of the vagina is rare and generally occurs as a result of rotational forceps. (4) Clinical manifestations are similar to the ruptured uterussudden cessation of labour pains, followed by continuous pain, vaginal bleeding or signs and symptoms of shock.…”

Section: Discussionmentioning

confidence: 99%

“…Colporrehxis -rupture of the vaginal vault, a laceration causing separation of the cervix from vaginal fornix, is a very rare type of genital tract injury. (1) Spontaneous trauma to the genital tract during vaginal delivery without instrumentation is very rare. (1) It can be lifethreatening and easily missed, with the diagnosis being overlooked.…”

Section: Introductionmentioning

confidence: 99%

“…(1) Spontaneous trauma to the genital tract during vaginal delivery without instrumentation is very rare. (1) It can be lifethreatening and easily missed, with the diagnosis being overlooked. (2) It is classified as primary and secondary, complete and incomplete, spontaneous and traumatic.…”

Section: Introductionmentioning

confidence: 99%

“…Colporrhexis can occur in both pregnant and non-pregnant women. (1,3) In a non-pregnant state, forceful coitus and foreign bodies are known to cause such injuries. These are more common in an already weakened vagina because of postmenopausal atrophy and previous surgery.…”

Section: Introductionmentioning

confidence: 99%

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Primary spontaneous complete colporrhexis following vaginal delivery — A rare case

Geetha¹

2020

IJPCCR

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Spontaneous trauma to the genital tract during vaginal delivery without instrumentation is very rare. Colporrhexis- rupture of vaginal vault is a very rare type of genital tract injury. A 31 year’s woman P2L2 with a previous one left ectopic pregnancy was referred to our institute within one hour of vaginal delivery as a case of suspected rupture uterus. On Per speculum examination under anaesthesia revealed protrusion of the omentum and intestine into the vagina, colporrhexis of the posterior vaginal wall was suspected which could not be repaired vaginally hence proceeded with laparotomy Opening the abdomen revealed injury of the small intestine also. Total abdominal hysterectomy with the repair of colporrhexis with small bowel resection and anastomosis with temporary ileostomy done. Colporrhexis - a dreadful complication, known to occur both in non-pregnant and pregnant state. It is subdivided into primary or secondary, spontaneous or traumatic, complete or incomplete. We encountered a case of vaginal delivery which had resulted in primary spontaneous complete posterior colporrhexis with small bowel injury

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%