Post coital hemoperitoneum: The pain of love

Acute abdominal pain in women of reproductive age is common and frequent cause for visit to emergency department which warrants emergent evaluation. We present the case of a 23-year-old nulliparous women presenting with post-coital haemoperitoneum secondary to a ruptured corpus luteum cyst. This is a rare case demonstrating the need to elicit sexual history in patients presenting with an acute abdomen in emergency department.

Post coital penile ring entrapment: A report of a non-surgical extrication method

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Removal of an entrapped penile ring where possible should be done in a simple non-invasive way.

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Milking the oedematous penis through the thick metallic ring in a slippery field complemented by levering with a blunt end paediatric bone lever, was the technique used to remove the ring.

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The ring was extricated without any morbidity and the patient went home on the same day.

This case report shows how a simple but painstaking method of milking and levering in a slippery field was used to remove a thick metallic ring entrapped at the root of the penis after sexual intercourse. A ring can be removed easily from an organ if the inter-phase is made slippery. However this must be weighed against the handling difficulties posed by a wet slippery surface. With perseverance and the use of unconventional instrument, the ring was successfully extricated as a day case and without a surgical incision.