[Uterine avulsion by blunt abdomino-pelvic trauma].
OBJECTIVE
Our objective was to present a case of uterine avulsion due to blunt trauma.


METHODS
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.
Ortiz-Mendoza
Carlos Manuel
CM
Servicio de Oncología, Hospital General Tacuba, ISSSTE, Lago Ontario 119, Col. Tacuba, 11410 Mexico DF.
Fernández-Carreño
Alfonso José
AJ
D000007:Abdominal Injuries / Q000150:complications* / Q000601:surgery; D000328:Adult; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D007044:Hysterectomy; D007813:Laparotomy; D009104:Multiple Trauma / Q000150:complications / Q000601:surgery; D010384:Pelvic Bones / Q000293:injuries / Q000601:surgery; D010388:Pelvis / Q000293:injuries*; D014599:Uterus / Q000293:injuries* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000601:surgery