著者

岡村 信介 岡本 吉明

出版者

近畿産科婦人科学会

雑誌

産婦人科の進歩 (ISSN:03708446)

巻号頁・発行日

vol.37, no.5-6, pp.403-419, 1985-11-01 (Released:2011-10-11)

参考文献数

1

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Injury during normal coitus is unusual. Since 1920 in Japan 148 cases have been reported. We recently treated a patient with laceration of the vaginal fornix penetrating the peritoneum. The patient was a 41-year-old woman who had had two Caesarian sections. Following sexual intercourse in the usual way, she started bleeding and complained of mild pain. It was considered that the injury was the result of one of three possible causes: postoperative adhesions, cervical deviation to the left, vaginal wall atrophy. Therapy was conservative: the wound was left open, and the patient was treated with bed rest and antibiotics. The 149 cases reported in Japan are reviewed and compared with those reported by Neugebauer and Wenzkowsky.