Uterine Reconstruction Following Vehicular Accident in 1 ½ Year Old Patient: A Rare Case

Abstract

Introduction: Uterine injuries following road traffic accidents are very rare and isolated and in the peadiatric age group are even rarer. Case Report: The patient, an 18 month old female child was referred to our hospital in the casualty with history of being run over by the rear wheel of a tractor 11 hours prior to admission. She was admitted with haemoperitoneum due to uterine transection. Reparative surgery was done. Discussion: Complete transection of uterus as a sole cause of haemoperitoneum in a road traffic accident has not been reported. Successful conservative surgery for the same has also not been reported in medical literature. It is our opinion that the good collateral circulation of the uterus and the presence of vital tissue after 16 hours of injury tipped the balance in favor of attempting conservative surgery with the principles of micro-surgery in mind.