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Immediate Repair of a Complete Uterine Transection After Motor Vehicle Collision
Erin Mankus1, Andrew Braun, Jennifer Knudtson
1Department of Obstetrics and Gynecology, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas.
Obstetrics and Gynecology
|October 8, 2020
Summary
Traumatic uterine corpus separation is rare but can occur with pelvic crush injuries. Surgical repair at initial presentation can preserve fertility.
Area of Science:
- Reproductive Medicine
- Trauma Surgery
Background:
- Traumatic separation of the cervix from the uterine corpus is an exceptionally rare injury.
- This case highlights the importance of considering uterine integrity in severe pelvic trauma.
Observation:
- An 18-year-old female sustained a pelvic crush injury from a motor vehicle accident.
- Laparotomy revealed complete transection of the uterine corpus at the internal os, alongside pelvic fractures and bladder rupture.
- The uterine corpus was surgically reattached to the cervix during the initial laparotomy.
Findings:
- Complete uterine transection at the internal os was successfully identified and surgically repaired.
- The surgical intervention involved the circumferential reattachment of the uterine corpus to the cervix.
Implications:
- Confirming uterine integrity is crucial in female patients with pelvic crush injuries undergoing exploratory laparotomy.
- Immediate surgical correction of uterine transection is feasible and may be vital for fertility preservation.
- This case demonstrates the potential for successful surgical management of severe uterine trauma to maintain reproductive potential.

