Avulsión uterina secundaria a trauma cerrado de abdomen y pelvis

Summary Objective: Our objective was to present a case of uterine avulsion due to blunt trauma. Clinical case: A 40-year-old female with diabetes mellitus and chronic renal failure was run over by a truck resulting in an unstable pelvic fracture. She was submitted to external pelvic fixation, but for homodynamic instability a diagnostic peritoneal lavage was done with resulting macroscopic blood. A laparotomy was done and a uterine avulsion was found in the union of the isthmus and corpus. A subtotal hysterectomy was performed and the pelvis was also packed due to damage of the sacral plexus. Results: The patient survived the pelvic and genital injuries but died 14 days after the initial surgery due to renal failure. Conclusions: Uterine avulsion is an infrequent but potentially lethal lesion associated with complex pelvic fractures.