Document Detail


Complete fetal transection after a motor vehicle collision.
MedLine Citation:
PMID:  18239011     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Motor vehicle collisions are the leading cause of fetal death related to maternal trauma, with rupture of the gravid uterus being one potential grave outcome. CASE: We present a case of a woman at 22 weeks of gestation who presented to the emergency department after a "high-speed" motor vehicle collision. On initial presentation, she was hemodynamically stable, and the examination was significant for midabdominal transverse ecchymosis from seatbelt trauma. A computed tomography scan identified a probable uterine rupture. Laparotomy revealed a 1,500-mL hemoperitoneum and a completely ruptured uterus requiring hysterectomy. The fetus was completely transected at the level of the midabdomen. CONCLUSION: Uterine rupture is possible for gravid women involved in motor vehicle collisions.
Authors:
Larissa F Weir; Brian T Pierce; Jose O Vazquez
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Obstetrics and gynecology     Volume:  111     ISSN:  0029-7844     ISO Abbreviation:  Obstet Gynecol     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-01     Completed Date:  2008-03-27     Revised Date:  2009-10-26    
Medline Journal Info:
Nlm Unique ID:  0401101     Medline TA:  Obstet Gynecol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  530-2     Citation Subset:  AIM; IM    
Affiliation:
Department of Obstetrics and Gynecology, San Antonio Uniformed Services Heath Education Consortium, San Antonio, Texas, USA. larissa.weir@sbcglobal.net
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MeSH Terms
Descriptor/Qualifier:
Abdominal Injuries / diagnosis,  etiology*,  therapy
Accidents, Traffic*
Adult
Female
Fetal Death / diagnosis,  etiology*,  surgery
Humans
Pregnancy
Prenatal Injuries / diagnosis,  etiology*,  therapy
Seat Belts / adverse effects
Uterine Rupture / diagnosis,  etiology*,  therapy

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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