A 50-year-old gravida 2, para 1 presents to the emergency department with vaginal bleeding. She underwent a robotic-assisted total laparoscopic hysterectomy with bilateral salpingectomy and cystoscopy 29 days ago for symptomatic uterine fibroids. The patient reports experiencing a “popping” sensation during her first episode of intercourse following surgery. Subsequently she developed 8/10 abdominal pain, vaginal bleeding, and vaginal pressure. She has no past medical history. Her past surgical history is significant for hysterectomy and bilateral salpingectomy. Her social history is significant for 20 pack-year history of tobacco use. She is not taking any medications and has no allergies.

A 45-year-old women presents to the emergency room complaining of vaginal bleeding and fevers at home to 38.3°C. She is six days post-op from a robotic hysterectomy, bilateral salpingectomy. The patient had normal return of bowel and bladder function and has been taking ibuprofen 600 mg every 6 hours alternating with oxycodone/acetaminophen 5/325 mg every 6 hours as needed for pain relief. She states that she really felt good for the first few days with only some light spotting since the procedure. Over the last 24 hours, she has noticed an increase in the discharge and stated it is now foul smelling. Her pain level and fatigue have increased over the last 12 hours, and she rates the pain in her abdomen as a 5 out of 10.