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[Uterine avulsion by blunt abdomino-pelvic trauma]
Carlos Manuel Ortiz-Mendoza1, Alfonso José Fernández-Carreño
1Servicio de Oncología, Hospital General Tacuba, ISSSTE, Lago Ontario 119, Col. Tacuba, 11410 Mexico DF.
Objective:
Our objective was to present a case of uterine avulsion due to blunt trauma.
Clinical Case:
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.
Results:
The patient survived the pelvic and genital injuries but died 14 days after the initial surgery due to renal failure.
Conclusions:
Uterine avulsion is an infrequent but potentially lethal lesion associated with complex pelvic fractures.
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