@article{ref1,
title="Long-term vaginal sequelae secondary to pediatric pelvic fracture",
journal="Journal of Pediatric and Adolescent Gynecology",
year="2009",
author="Fowler, Jeffrey A. and Goodman, Gens P. and Evans, Jason M. and Schober, Justine M.",
volume="22",
number="1",
pages="e15-9",
abstract="BACKGROUND: Pediatric pelvic fractures often appear radiographically benign despite significant injury to viscera. Vaginal injuries are rare, and therefore require a high index of suspicion. CASE: A 26-year-old female patient who sustained a pelvic fracture in a motorcycle accident at the age of 10 presented with vaginal stenosis precluding sexual intercourse. Patient menstruated through a fistula in the distal vaginal vault. Radiographic and dye studies showed almost complete vaginal obstruction with heterotopic ossification. An extensive 30-year review of the literature was conducted looking for documented cases of vaginal injuries secondary to pelvic injury. SUMMARY AND CONCLUSION: This is the only recorded case of a long-term vaginal complication with subsequent heterotopic ossification secondary to pelvic fracture. Preventing debilitating long-term sequelae from vaginal injuries requires close patient follow-up and age-appropriate assessments.<p /> <p>Language: en</p>",
language="en",
issn="1083-3188",
doi="10.1016/j.jpag.2008.01.068",
url="http://dx.doi.org/10.1016/j.jpag.2008.01.068"
}