Avulsion of the nongravid uterus due to pelvic fracture.

I have reported the case of a 21-year-old woman who was thrown from her car, sustaining multiple severe closed pelvic fractures with avulsion of the uterus at the corpocervical junction. Laparotomy showed massive hemoperitoneum due to avulsion of the uterus. After subtotal hysterectomy, she was placed in skeletal traction, and later had open reduction and internal fixation with a cancellous iliac bone graft. At two-month follow-up, she was ambulatory on crutches, and x-ray films showed a stable pelvis with healing of the fractures.