Review of Gynecological Trauma: Motor Vehicle Accidents

While much is written about the consequences of motor vehicle accidents in the pregnant patient, less is documented regarding gynecological trauma after similar injuries. Though rare, gynecological trauma may be significant and include injuries to the uterus, adnexa, and vagina. Uterine avulsion may be diagnosed immediately or be recognized on re-presentation with secondary amenorrhea; surgical methods are described to restore anatomical continuity and possible fertility. Adnexal injuries are rare but should be evaluated intraoperatively. Vaginal injuries may be closely associated with pelvic fracture and may require antibiotic prophylaxis in addition to evaluation for repair. Careful attention is needed to this range of often occult gynecological injuries after motor vehicle accidents.