Coital laceration in shock: A case report.

Oriji Peter Chibuzor1*, Omietimi James Enimi1, Allagoa Dennis Oju1, Sominyai Inain Roberts Cornerstone1, Adeniran Aderonke1, Ikiba Prosper1, Tekenah Ebiye Serena1, Obagah Lukman1, Ikoro Chima1, Mbah Kanayochukwu Michael1
1Department of Obstetrics and Gynaecology, Federal Medical Centre, Yenagoa, Bayelsa State, Nigeria.
*Correspondence: Dr. Oriji, Peter Chibuzor; +234 706 423 3209;

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Background: Coital lacerations vary from minor self-limiting vaginal injury with minimal bleeding, which do not require medical attention to life-threatening tear with severe bleeding which could progress to haemorrhagic shock and death if not promptly managed.
Case presentation: A 19-year-old senior secondary school student who presented to the gynaecological emergency unit with coital laceration in shock. She was resuscitated, and had repair in theatre.
Conclusion: Coital laceration is usually mild. It could be life-threatening in severe cases. Prompt diagnosis and management of severe cases will reduce the morbidity and mortality associated with it.

Keywords: Coital laceration, shock, life-threatening, morbidity, mortality.

Cite this article: Oriji PC, Omietimi JE, Allagoa DO, Sominyai IRC, Adeniran A, Ikiba P, et al. Coital laceration in shock: A case report. Yen Med J. 2019;1(1):49-51.


  1. Umaru I, Babagana B, Abdulkarim GM, Ado Coital trauma as seen at the University of Maiduguri Teaching Hospital, Maiduguri. BO Med J. 2013;10(1):25–29.
  2. Ezechi OC, Fasubaa OB, Dare FO. Vaginal injury during coitus at Ile Ife: A 16-year Nig J Med. 2000;9(1):16–18.
  3. Fletcher H, Bambury I, Williams M. Post-coital posterior fornix perforation with peritonitis and Int J Surg Case Rep. 2013;4(2):153–155.
  4. Jeng CJ, Wang Vaginal laceration and haemorrhagic shock during consensual sexual intercourse. J Sex Marital Ther. 2007;33(3):249–253.
  5. Sloin MM, Karimian M, Ilbeigi Nonobstetric lacerations of the vagina. J Am Osteopath Assoc. 2006;106(5):271–273.
  6. Omo-Aghoja LO, Ovbagbedia O, Feyi-Waboso P, Okonofua FE. Coitally related traumatic injury of the female genital tract in a Nigerian urban setting: A 5-year Niger Postgrad Med J. 2009;16(1):59–63.
  7. Abasiatta AM, Etuk SJ, Bassey EA, Asuquo EE. Vaginal injuries during coitus in Calabar, a 10- year Niger Postgrad Med J. 2005;12(2):140–144.
  8. Ijaiya AM, Mai AP, Aboyeji V, Kumanda MO, Abiodun HO. Rectovaginal fistula following sexual A case report. Ann Afr Med. 2009;8(1):59–60.
  9. Fawole AO, Awonuga Gynaecological emergencies in the tropics: Recent advances in management. Ann Ib Postgrad Med. 2007;5(1):12–20.
  10. Oseni TIA, Fuh NF, Eromon PE. Consensual Coital Lacerations: A Case Series. Gynecol Obstet Case Rep. 2017;3(1):1–2.
  11. Boraiah S, Sheela SR, Shetty MVK. Post coital fourth degree recto-vagino-perineal tear: A rare case report. Int J Pharm Sci Res. 2012;3(11):4372–4373.
  12. Ahmed E, Syed SA, Parveen N. Female consensual coital injuries. J Coll Physicians Surg Pak. 2006;16(5):333–335.
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