Case study – A woman with vaginal rupture after sexual intercourse

Retain – Case study – woman vaginal

• A 36 -year -old woman appeared in the hospital with abdominal pain and vaginal hemorrhage. For example, Her husband, mother and sisters accompany her. For example, She denied sexual violence or the use of vaginal instruments.
• The vital signs of the patient indicated a hemorrhagic shock, so that resuscitation measures had to be put in place. Therefore, Under anesthesia, a rupture of the vagina could be noted. Similarly, It was only in the absence of her husband that the patient admitted to having been mistreated.
• This case study From the Hanane Houmaid Institute of Medicine of Mohammed VI Hospital in Marrakech in Morocco evokes the health consequences of domestic violence.

The patient. Similarly, her history – Case study – woman vaginal

Accompanied by her husband, mother and case study – woman vaginal sister, the patient presented herself to the emergency room of a Marrakech hospital in Morocco due to acute abdominal pain and vaginal bleeding.

She explained that she had recently married. Moreover, that it was in this context that she had had her first sexual intercourse, hence the bleeding. His last menstruation had taken place 2 weeks before. She denied having been raped in the past or having used sex toys.

The drug, family, social, drug, allergy and travel history were without particularity.

Examination results

The patient’s vital parameters were measured. The body temperature was 36.5 ° C, the heart rate of 110 beats per minute, the blood pressure of 95/60 mmHg, the respiratory frequency of 18 cycles per minute. The perineum inspection revealed a recently lacerated hymen and a retrovaginal lesion. Additionally, The rectal touch revealed a normal sphincter tone. Defense tension was palpable in the case study – woman vaginal abdomen. The ends were cold.

Resuscitation measures have been taken due to a strong suspicion of hemorrhagic shock. A vaginal examination was carried out under anesthesia. A speculum examination revealed a vaginal wound of 4 to 5 cm with perforation of the posterior cul-de-sac and a visceral hernia. The cervix was free from lesions.

Standard laboratory examinations have shown a hemoglobin concentration of 6 g/dl. Platelet concentrations, leukocytes and coagulation parameters were normal.

Only a more precise anamnesis revealed the diagnosis

The vaginal rupture was sutured. Antibiotic therapy has been initiated on a prophylactic basis. Four erythrocytic concentrates as well as six frozen fresh plasma pockets were administered. The patient’s postoperative stay went without complications.

In the absence of her husband, the patient admitted to having been mistreated by him. He was probably under the influence of drugs because he had become very rough. had case study – woman vaginal violently penetrated him with his fingers.

The patient was able to be released on the third postoperative day. Sexual abstinence was recommended for 10 to 15 weeks, as well as possible psychotherapy.

Discussion

« This case should be used to highlight domestic sexual violence “Explain the authors of this case study. This subject remains taboo in the socio-cultural context of women and authors. “” Early diagnosis and rapid multidisciplinary management ”can be decisive in the event of sexual violence. Knowing that the ultimate goal remains “prevention by good sex education.” »

This article has been translated fromUnivadis.de. The content was reviewed by the editorial staff before publication.