I immediately went to examine the patient and asked her what happened.
She stated that "My boyfriend and I were having sex and in the middle I felt a loud pop with severe pain. After he stopped, I stood up to go to the bathroom and THIS fell out!"
She pointed to her vagina. I then looked down and noticed her small intestines and omentum hanging from her vagina!!! I could barely look at the boyfriend without wondering what he was packing down there to bust his girlfriend like that. It turns out the patient had a hysterectomy and the boyfriend popped the sutures loose. Gyn on call immediately took her to surgery where she had an uneventful recovery.