Department of Obstetrics and Gynecology, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas.
Obstet Gynecol. 2020 Nov;136(5):950-952. doi: 10.1097/AOG.0000000000004058.
Traumatic separation of the cervix from the uterine corpus is rare. We describe a case in which this injury was identified and surgically repaired at initial presentation to preserve fertility.
An 18-year-old woman presented with a pelvic crush injury after a motor vehicle accident. Imaging revealed pelvic fractures and bladder rupture. Complete transection of the uterine corpus at the level of the internal os was identified at laparotomy. The gynecology service was consulted and circumferentially reattached the corpus to the cervix.
Uterine integrity should be confirmed in female patients with pelvic crush injuries who undergo exploratory laparotomy given the unknown extent of intra-abdominal trauma. Immediate surgical correction of uterine transection at the time of injury with restoration of the genital outflow tract is feasible and may allow preservation of fertility.
宫颈与子宫体分离的创伤很少见。我们描述了一例患者在初次就诊时通过手术修复以保留生育能力。
一名 18 岁女性因车祸致骨盆挤压伤就诊。影像学检查显示骨盆骨折和膀胱破裂。剖腹探查时发现子宫体完全在宫颈内口处横断。妇产科医生会诊后，环绕子宫体对宫颈进行了重新吻合。
对于接受剖腹探查术的骨盆挤压伤女性患者，由于其腹腔内创伤的范围未知，应确认子宫的完整性。在受伤时立即进行子宫横断的外科矫正，并恢复生殖道的通畅，这是可行的，并且可能保留生育能力。
