Background: Many men and women practice a broad range of voluntary sexual activities. Most of which
are harmless. Many minor injuries of the genital, and anal areas do occur but most require only symptomatic therapy. Rectal perforations and sphincter injuries are uncommon but have important medicolegal implications.
Case Report: A-16-year-old nullipara presented with vaginal bleeding after sexual intercourse. Pelvic examination revealed full-thickness longutidunal perforation of the rectum. Full-thickness perforation
of the rectum was sutured primarily under general anesthesia. The patient was discharged 2 days later.
Conclusions: Rectal perforation due to sexual intercourse in a 16-year-old married woman has not been previously reported.

Keywords: Rectal perforation, Sexual intercoursee