S37.6

Clinical Causes: Trauma from blunt or penetrating injuries during accidents or falls Complications during surgical procedures involving the uterus (e.g., cesarean section, hysterectomy, or diagnostic surgeries) Childbirth-related injuries, such as uterine rupture or lacerations during labor Pelvic inflammatory disease leading to tissue damage Use of medical instruments during gynecological examinations or procedures Previous uterine surgeries or scar tissue that predispose to injury

Key Symptoms: Abdominal or pelvic pain, which may be sudden and severe Heavy or abnormal vaginal bleeding Signs of shock in severe cases, such as pallor, rapid heartbeat, and fainting Fever or chills if infection develops Pain during urination or bowel movements Tenderness or swelling in the pelvic area In some cases, there may be no noticeable symptoms until complications arise

Diagnosis Path: Diagnosis of a uterine injury involves a combination of medical history review, physical examination, and diagnostic tests. Healthcare providers may perform pelvic exams to assess tenderness and bleeding. Imaging studies, such as ultrasound scans, can help visualize the extent of injury. In certain cases, advanced imaging techniques like MRI or CT scans are utilized for detailed assessment. Laparoscopy, a minimally invasive surgical procedure, may also be employed to directly visualize the internal organs and confirm the diagnosis.

Treatment Protocols: Conservative management with close monitoring and bed rest for minor injuries, with support for pain management Surgical intervention to repair lacerations, perforations, or ruptures Blood transfusions in cases of significant bleeding Antibiotic therapy if infection is present or as a preventive measure Follow-up care to monitor healing and prevent complications Further interventions might be necessary in cases of extensive injury or damage affecting fertility