Long-term vaginal sequelae secondary to pediatric pelvic fracture.
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.
Fowler
Jeffrey A
JA
Lake Erie College of Osteopathic Medicine, Erie, Pennsylvania, USA.
Goodman
Gens P
GP
Evans
Jason M
JM
Schober
Justine M
JM
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*