Uterine avulsion by blunt abdomino-pelvic trauma

• Published in: Cirugia y cirujanos Vol. 72; no. 6; pp. 499 - 502
• Main Authors: Ortiz-Mendoza, Carlos Manuel, Fernández-Carreño, Alfonso José
• Format: Journal Article
• Language: Spanish
• Published: Mexico 01-11-2004
• Subjects: Abdominal Injuries - complications; Abdominal Injuries - surgery; Adult; Fatal Outcome; Female; Humans; Hysterectomy; Laparotomy; Multiple Trauma - complications; Multiple Trauma - surgery; Pelvic Bones - injuries; Pelvic Bones - surgery; Pelvis - injuries; Uterus - injuries; Uterus - surgery; Wounds, Nonpenetrating - complications; Wounds, Nonpenetrating - surgery
• ISSN: 0009-7411

Our objective was to present a case of uterine avulsion due to blunt trauma.
A 40-year-old female with diabetes mellitus and chronic renal failure was run over by a truck resulting in an unstable pelvic fracture. She was submitted to external pelvic fixation, but for homodynamic instability a diagnostic peritoneal lavage was done with resulting macroscopic blood. A laparotomy was done and a uterine avulsion was found in the union of the isthmus and corpus. A subtotal hysterectomy was performed and the pelvis was also packed due to damage of the sacral plexus.
The patient survived the pelvic and genital injuries but died 14 days after the initial surgery due to renal failure.
Uterine avulsion is an infrequent but potentially lethal lesion associated with complex pelvic fractures.