Repair of Traumatic Uterine Avulsion of a Gravid Uterus

被引:0
|
作者
Psaromatis, Kirie M. [1 ]
Lopez, Ashley R. [1 ]
Murray, Amanda M. [1 ]
机构
[1] Texas Tech Univ, Hlth Sci Ctr Permian Basin, Dept Obstet & Gynecol, Odessa, TX 79763 USA
来源
OBSTETRICS AND GYNECOLOGY | 2025年 / 145卷 / 04期
关键词
RUPTURE;
D O I
10.1097/AOG.0000000000005864
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
BACKGROUND: Although the fundus is the most likely location of rupture in the gravid uterus, the isthmus is the weakest point, leaving it vulnerable to avulsion during blunt pelvic trauma. We describe a case of uterine avulsion in a gravid patient that was repaired in an attempt to preserve future fertility.CASE: A 19-year-old primigravid woman in her second trimester presented with uterine body avulsion from the cervix after motor vehicle collision. After evacuation of the pregnancy, repair consisted of circumferential interrupted sutures with digital confirmation of cervical patency. On follow-up imaging, normal anatomy appeared restored, with no residual abnormalities noted. We recommended the use of long-acting reversible contraception postoperatively, as well as special considerations for future pregnancies, such as prelabor caesarean delivery and maternal-fetal medicine subspecialist referral.CONCLUSION: A gravid uterus may be particularly prone to avulsion at the isthmus, and similar techniques as those described previously in cases of nongravid uterine avulsion may be used in an attempt to preserve future fertility.
引用
收藏
页码:e131 / e134
页数:4
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