Agrawal Neha, Ghuman Navdeep Kaur, Singh Pratibha, Kathuria Priyanka, Banerjee Sumit, Garg Pawan Kumar, Rai Ankit
Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Orthopaedics, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
J Midlife Health. 2021 Oct-Dec;12(4):316-318. doi: 10.4103/jmh.jmh_99_21. Epub 2022 Jan 20.
Postmenopausal bleeding is one of the common presenting complaints in the gynecological outpatient department. The common causes of which are atrophic endometritis, vaginitis, estrogen therapy, cancer endometrium, and cancer cervix. Hereby, we present a rare case of a 65-year-old female presented with postmenopausal bleeding who had history of trauma 1 year back with pelvic bone fracture. The cause of postmenopausal bleeding, in this case, is abnormal bony protrusion secondary to malunited pelvic fracture causing laceration of the right lateral vaginal wall. The case was managed by local osteotomy and vaginal wall repair.
绝经后出血是妇科门诊常见的就诊主诉之一。其常见原因包括萎缩性子宫内膜炎、阴道炎、雌激素治疗、子宫内膜癌和宫颈癌。在此,我们报告一例罕见病例,一名65岁女性因绝经后出血就诊,该患者1年前有骨盆骨折外伤史。本例绝经后出血的原因是骨盆骨折愈合不良继发异常骨质突出,导致右侧阴道壁撕裂。该病例通过局部截骨术和阴道壁修复进行治疗。