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KMID : 0358420160590030249
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Korean Journal of Obstetrics and Gynecology
2016 Volume.59 No. 3 p.249 ~ p.252
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Delayed retropneumoperitoneum following vaginal laceration in a 7-year-old girl
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Min Kyung-Jin
Im Hye-sook
Lee Sang-Hoon
Hong Jin-Hwa
Song Jae-Yun
Lee Jae-Kwan
Lee Nak-Woo
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Abstract
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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.
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KEYWORD
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Child, Laceration, Retropneumoperitoneum, Vagina
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