Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case report.

Journal of Trauma and Injury Pub Date : 2023-09-01 Epub Date: 2023-01-18 DOI:10.20408/jti.2022.0070
Sebeom Jeon, Suyoung Park, Soohyun Oh, Jayun Cho
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引用次数: 0

Abstract

Traumatic uterine rupture is uncommon but can be fatal and life-threatening for both the mother and infant. In addition to complications caused by trauma itself, such as pelvic fracture, gestational complications such as placental abruption, abortion, premature labor, rupture of membranes, maternal death, and stillbirth can occur. In particular, fetuses have been reported to have a high mortality rate in cases of traumatic uterine rupture. A 35-year-old pregnant female patient fell from the fourth floor and was admitted to our trauma center. We observed large hemoperitoneum, pelvic fractures, and spleen laceration, and the fetus was presumed to be located outside the uterus. The pregnant woman was hemodynamically unstable. Although the fetus was stillborn, angioembolization and surgical treatment were properly performed through collaboration with an interventional radiologist, obstetrician, and trauma surgeons. After two orthopedic operations, the patient was discharged after 34 days. This case report suggests the importance of a multidisciplinary approach in the treatment of pregnant trauma patients.

韩国一名钝器伤后失血性休克的 36 周孕妇子宫破裂:病例报告。
外伤性子宫破裂并不常见,但对母亲和婴儿来说都可能是致命和危及生命的。除了创伤本身引起的并发症(如骨盆骨折)外,还可能出现胎盘早剥、流产、早产、胎膜破裂、产妇死亡和死胎等妊娠并发症。特别是有报道称,在外伤性子宫破裂的病例中,胎儿的死亡率很高。一名 35 岁的孕妇从四楼坠落,被送入我们的创伤中心。我们观察到大出血腹腔、骨盆骨折和脾脏裂伤,推测胎儿位于子宫外。孕妇血流动力学不稳定。虽然胎儿胎死腹中,但通过与介入放射科医生、产科医生和创伤外科医生的合作,血管栓塞术和手术治疗得以顺利进行。经过两次矫形手术,患者在 34 天后康复出院。该病例报告表明,多学科方法在治疗妊娠期创伤患者方面非常重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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