Coital injury requiring internal iliac artery ligation
In: Singapore medical journal, Jg. 37 (1996), Heft 5, S. 547-548
Online
academicJournal
- print, 7 ref
Zugriff:
Profuse bleeding after voluntary sexual intercourse is an uncommon reason for admission to the gynaecological wards. Out of 12 such patients admitted to the Ipoh Hospital over a three-year period, one patient had life-threatening upper vaginal injury after coitus. Blood replacement and conventional suturing failed to arrest the bleeding. Bilateral internal iliac artery ligation promptly arrested further haemorrhage. Vigorous intercourse increases intra-abdominal pressure in women causing tensing of the cul-de-sac, decreasing the elasticity of the posterior fornix, resulting in vaginal laceration. Bilateral internal iliac artery ligation produces a 'pelvic compartment hypotension' converting a high arterial flow system to that of low one resembling venous flow. The useful role of this procedure to contain pelvic haemorrhage is discussed.
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Coital injury requiring internal iliac artery ligation
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Autor/in / Beteiligte Person: | SIVALINGAM, N ; RAJESVARAN, D |
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Zeitschrift: | Singapore medical journal, Jg. 37 (1996), Heft 5, S. 547-548 |
Veröffentlichung: | Singapore: Singapore Medical Association, 1996 |
Medientyp: | academicJournal |
Umfang: | print, 7 ref |
ISSN: | 0037-5675 (print) |
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