{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T11:20:25Z","timestamp":1791804025460,"version":"4.3.4"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","license":[{"start":{"date-parts":[[2013,1,1]],"date-time":"2013-01-01T00:00:00Z","timestamp":1356998400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,7,16]],"date-time":"2013-07-16T00:00:00Z","timestamp":1373932800000},"content-version":"vor","delay-in-days":196,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/3.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2013,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>INTRODUCTION:<\/jats:title>\n                    <jats:p>Vaginal injuries are common outside of obstetric practice. Post coital posterior fornix perforation and intra-abdominal bleeding is however an uncommon cause for laparotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>PRESENTATION OF CASE:<\/jats:title>\n                    <jats:p>We present two cases of posterior fornix perforation with hypovolemic shock after sexual intercourse in two young women. In both cases there was a delay in the diagnosis because there was illicit sex. Both women however eventually had laparotomy and uneventful post-operative outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>DISCUSSION:<\/jats:title>\n                    <jats:p>This is an uncommon condition but it is important to suspect it in sexually active women. Previous reports that it was only found in females with vaginal thinning (children and postmenopausal women) are refuted by these two cases and the importance of interviewing women without a chaperone to get the true story is highlighted for prompt treatment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Acute post-coital vaginal injuries should be suspected in women who present to hospital with vaginal bleeding and abdominal pain.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2012.11.008","type":"journal-article","created":{"date-parts":[[2012,11,15]],"date-time":"2012-11-15T22:15:17Z","timestamp":1353017717000},"page":"153-155","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":12,"title":["Post-coital posterior fornix perforation with peritonitis and haemoperitoneum"],"prefix":"10.1097","volume":"4","author":[{"given":"Horace","family":"Fletcher","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Bambury","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michelle","family":"Williams","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-4-20260114","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1111\/j.1479-828X.1993.tb02132.x","article-title":"Non obstetric lower genital tract trauma","volume":"33","author":"Sau","year":"1993","journal-title":"Australian and New Zealand Journal of Obstetrics and Gynaecology"},{"key":"R2-4-20260114","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1016\/S0733-8627(20)30540-X","article-title":"Sexually related trauma [review]","volume":"6","author":"Geist","year":"1988","journal-title":"Emergency Medicine Clinics of North America"},{"key":"R3-4-20260114","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1080\/00926230701267910","article-title":"Vaginal laceration and hemorrhagic shock during consensual sexual intercourse","volume":"33","author":"Jeng","year":"2007","journal-title":"Journal of Sex and Marital Therapy"},{"key":"R4-4-20260114","first-page":"333","article-title":"Female consensual coital injuries","volume":"16","author":"Ahmed","year":"2006","journal-title":"Journal of the College of Physicians and Surgeons \u2013 Pakistan"},{"key":"R5-4-20260114","doi-asserted-by":"crossref","first-page":"786","DOI":"10.1136\/bmj.1.4555.786","article-title":"Perforation of the posterior fornix and pouch of Douglas during coitus","volume":"1","author":"Lask","year":"1948","journal-title":"British Medical Journal"},{"key":"R6-4-20260114","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1097\/00006565-199610000-00008","article-title":"Coital injury presenting in a 13-year-old as abdominal pain and vaginal bleeding","volume":"12","author":"Bhagat","year":"1996","journal-title":"Pediatric Emergency Care"},{"key":"R7-4-20260114","doi-asserted-by":"crossref","first-page":"113","DOI":"10.1097\/00006565-200104000-00009","article-title":"Vaginal laceration and perforation resulting from first coitus","volume":"17","author":"Hoffman","year":"2001","journal-title":"Pediatric Emergency Care"},{"key":"R8-4-20260114","first-page":"420","article-title":"Vaginal injuries during coitus: 98 cases","volume":"23","author":"Dao","year":"1995","journal-title":"Contraception Fertilite Sexualite"},{"key":"R9-4-20260114","first-page":"217","article-title":"Vaginal trauma at sexual intercourse in Ilorin, Nigeria. An analysis of 36 cases","volume":"8","author":"Anate","year":"1989","journal-title":"West African Journal of Medicine"},{"key":"R10-4-20260114","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.ijgo.2008.04.026","article-title":"Non obstetric lower genital tract injuries in rural India","volume":"103","author":"Jana","year":"2008","journal-title":"International Journal of Gynaecology and Obstetrics"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261212002131?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261212002131?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.lww.com\/01612930-201304020-00004","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T13:01:04Z","timestamp":1768395664000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01612930-201304020-00004"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1]]},"references-count":10,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2013]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2012.11.008","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2013,1]]}}}