Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
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Pneumoperitoneum from vaginal cuff dehiscence following blunt trauma in a patient with a history of robotic hysterectomy in Korea: a case report

  • Byung Hee Kang (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine) ;
  • Donghwan Choi (Division of Trauma Surgery, Department of Surgery, Ajou University School of Medicine)
  • Received : 2023.10.25
  • Accepted : 2023.12.04
  • Published : 2024.03.31
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Abstract

Pneumoperitoneum usually presents as a surgical emergency, especially in patients with a history of trauma. However, we recently encountered an atypical case of pneumoperitoneum at a hysterectomy site following blunt trauma, indicating that immediate laparotomy may not always be necessary. In this report, we present the case of a 45-year-old woman who was transferred to our trauma center from a local hospital after being involved in a traffic accident the day before. Although she underwent an emergency laparotomy, no bowel perforation was detected. Instead, a rupture was found at the site of a hysterectomy that had been performed 8 months earlier. After repairing the hysterectomy site, the pneumoperitoneum resolved, and the patient was subsequently discharged without further complications.

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References

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