S35.536

Clinical Causes: Trauma during childbirth or surgery involving the pelvis or reproductive organs Pelvic fractures resulting from accidents or falls Iatrogenic injury during gynecological procedures, such as hysterectomy or uterine surgeries Blunt or penetrating trauma to the lower abdomen or pelvis Complications of invasive procedures like intrauterine device (IUD) insertion

Key Symptoms: Pelvic pain or discomfort Vaginal bleeding or abnormal bleeding patterns Swelling or tenderness in the pelvic area Signs of internal bleeding, such as dizziness or weakness (in severe cases) Possible signs of infection if the injury leads to complications

Diagnosis Path: Diagnosing an injury to the uterine vein typically involves a combination of clinical assessment and imaging techniques. Healthcare providers may utilize ultrasound, CT scans, or MRI to visualize the pelvic area and identify bleeding or vascular injury. In some cases, angiography might be performed to get a detailed view of the blood vessels. Blood tests may also be done to evaluate the patient’s overall blood volume and check for anemia or signs of internal bleeding.

Treatment Protocols: Management of uterine vein injuries depends on the severity and symptoms. Treatment approaches include: - Observation and conservative management for minor injuries, with close monitoring - Surgical intervention to repair damaged blood vessels or control bleeding - Embolization procedures to block bleeding vessels, often performed by specialists - Supportive care such as IV fluids or blood transfusions in cases of significant blood loss - Treating any associated injuries or infections to prevent complications Multidisciplinary care involving gynecologists, surgeons, and interventional radiologists may be necessary to ensure appropriate treatment.