title: Long-term vaginal sequelae secondary to pediatric pelvic fracture.
abstract: BACKGROUND
  Pediatric pelvic fractures often appear radiographically benign despite significant injury to viscera. Vaginal injuries are rare, and therefore require a high index of suspicion.
  
  
  METHODS
  A 26-year-old female patient who sustained a pelvic fracture in a motorcycle accident at the age of 10 presented with vaginal stenosis precluding sexual intercourse. Patient menstruated through a fistula in the distal vaginal vault. Radiographic and dye studies showed almost complete vaginal obstruction with heterotopic ossification. An extensive 30-year review of the literature was conducted looking for documented cases of vaginal injuries secondary to pelvic injury.
  
  
  CONCLUSIONS
  This is the only recorded case of a long-term vaginal complication with subsequent heterotopic ossification secondary to pelvic fracture. Preventing debilitating long-term sequelae from vaginal injuries requires close patient follow-up and age-appropriate assessments.
authors.affiliation: Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania, USA.
authors.forename: Jeffrey A
authors.initials: JA
authors.lastname: Fowler
authors.forename: Gens P
authors.initials: GP
authors.lastname: Goodman
authors.forename: Jason M
authors.initials: JM
authors.lastname: Evans
authors.forename: Justine M
authors.initials: JM
authors.lastname: Schober
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D002648:Child; D003251:Constriction, Pathologic / Q000175:diagnosis / Q000209:etiology*; D005260:Female; D017102:Fracture Healing; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D009049:Motorcycles; D009999:Ossification, Heterotopic / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology; D010384:Pelvic Bones / Q000000981:diagnostic imaging / Q000293:injuries*; D011859:Radiography; D012735:Sexual Dysfunction, Physiological / Q000209:etiology; D013995:Time; D013997:Time Factors; D014621:Vagina / Q000293:injuries*