{"title":"脐带横断刺伤致胎儿死亡1例。","authors":"Skander Abid, Dhekra Toumi, Ghada Abdelmoula, Mohamed Amine Mesrati, Abdeljalil Khlifi, Haifa Bouchahda","doi":"10.11604/pamj.2025.51.32.47368","DOIUrl":null,"url":null,"abstract":"<p><p>Intrauterine fetal demise due to penetrating abdominal trauma is rare, and complete umbilical cord transection is exceptionally uncommon. We report the case of a 29-week pregnant woman who sustained multiple abdominal stab wounds, leading to fetal death and complete transection of the umbilical cord. The maternal and fetal risks associated with trauma rise significantly with gestational age. Despite advances in emergency care, management of trauma in pregnancy remains complex and lacks standardized protocols. A multidisciplinary approach in specialized settings is essential to improve maternal and fetal outcomes. This case is reported due to its rarity and to underscore the importance of early recognition and coordinated intervention in traumatic injuries during pregnancy.</p>","PeriodicalId":48190,"journal":{"name":"Pan African Medical Journal","volume":"51 ","pages":"32"},"PeriodicalIF":1.0000,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329454/pdf/","citationCount":"0","resultStr":"{\"title\":\"Fetal demise due to stab wound with umbilical cord transection: a case report.\",\"authors\":\"Skander Abid, Dhekra Toumi, Ghada Abdelmoula, Mohamed Amine Mesrati, Abdeljalil Khlifi, Haifa Bouchahda\",\"doi\":\"10.11604/pamj.2025.51.32.47368\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Intrauterine fetal demise due to penetrating abdominal trauma is rare, and complete umbilical cord transection is exceptionally uncommon. We report the case of a 29-week pregnant woman who sustained multiple abdominal stab wounds, leading to fetal death and complete transection of the umbilical cord. The maternal and fetal risks associated with trauma rise significantly with gestational age. Despite advances in emergency care, management of trauma in pregnancy remains complex and lacks standardized protocols. A multidisciplinary approach in specialized settings is essential to improve maternal and fetal outcomes. This case is reported due to its rarity and to underscore the importance of early recognition and coordinated intervention in traumatic injuries during pregnancy.</p>\",\"PeriodicalId\":48190,\"journal\":{\"name\":\"Pan African Medical Journal\",\"volume\":\"51 \",\"pages\":\"32\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-06-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329454/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Pan African Medical Journal\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.11604/pamj.2025.51.32.47368\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q4\",\"JCRName\":\"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Pan African Medical Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.11604/pamj.2025.51.32.47368","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
Fetal demise due to stab wound with umbilical cord transection: a case report.
Intrauterine fetal demise due to penetrating abdominal trauma is rare, and complete umbilical cord transection is exceptionally uncommon. We report the case of a 29-week pregnant woman who sustained multiple abdominal stab wounds, leading to fetal death and complete transection of the umbilical cord. The maternal and fetal risks associated with trauma rise significantly with gestational age. Despite advances in emergency care, management of trauma in pregnancy remains complex and lacks standardized protocols. A multidisciplinary approach in specialized settings is essential to improve maternal and fetal outcomes. This case is reported due to its rarity and to underscore the importance of early recognition and coordinated intervention in traumatic injuries during pregnancy.
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