Title :

Traumatic rectovaginal fistula after sexual intercourse following a non-consensual anal penetration: a case report and a review of the literature

Author(s) :

Marchand, Elodie [Auteur]
Service de Médecine Légale [CHRU Nancy]
Unité de Taphonomie médico-légale et Anatomie - ULR 7367 [UTML&A]
Martrille, Laurent [Auteur]
Service de Médecine Légale [CHRU Nancy]
Hedouin, Valéry [Auteur]
Unité de Taphonomie médico-légale et Anatomie - ULR 7367 [UTML&A]

Journal title :

Forensic Science, Medicine, and Pathology

Pages :

679-683

Publisher :

Humana Press

Publication date :

2021-12

ISSN :

1547-769X

English keyword(s) :

Coital injury
Non-obstetric genital wound
Rectovaginal fistula
Sexual intercourse

HAL domain(s) :

Sciences du Vivant [q-bio]/Médecine humaine et pathologie/Gynécologie et obstétrique

English abstract : [en]

Rectovaginal fistulas are rare genital lesions, often due to obstetric causes. More rarely they are a consequence of sexual intercourse. We present the case of a 36-year-old woman who presented to a gynecological emergency ...
Show more >Rectovaginal fistulas are rare genital lesions, often due to obstetric causes. More rarely they are a consequence of sexual intercourse. We present the case of a 36-year-old woman who presented to a gynecological emergency department with pelvic pain and feces coming from the vagina. This symptomatology appeared after non-consensual anal intercourse following consensual penile vaginal penetration. She was treated for a perforation of the rectovaginal septum. On the basis of our results, we reviewed the cases published in the literature, with a summary of the elements that may favor the appearance of this lesion, such as "virginity", obstetrics and gynecological history, or coitus position, its classification by size and localization, and the therapeutic indications (suture repair of the wall or a colostomy). Better knowledge of this type of lesion would improve the practice of forensic pathologists for screening and management.Show less >

Language :

Anglais

Popular science :

Non

Collections :

• Unité de Taphonomie Médico-Légale & d’Anatomie (UTMLA) - ULR 7367

Source :

Harvested from HAL