Document Detail

Seat belt placement resulting in uterine rupture.
MedLine Citation:
PMID:  9137268     Owner:  NLM     Status:  MEDLINE    
A 20-year-old woman with a 27-week intrauterine pregnancy was admitted to a Level II trauma center after a motor vehicle crash. She had a seat belt abrasion over her lower abdomen. Fetal death was established, and subsequent computed tomographic scanning detected uterine rupture with intra-abdominal displacement of the fetus. This finding dispelled any thought of placental abruption and led directly to laparotomy with repair of the uterus and removal of the dead fetus. Recently, and 7 years after the trauma, the patient presented for prenatal care of a new pregnancy. Proper seat belt placement is reviewed and the value of abdominal computed tomographic examination is underscored. An updating comment about airbags is included.
D C Astarita; B Feldman
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  42     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-05-22     Completed Date:  1997-05-22     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  738-40     Citation Subset:  AIM; IM    
Department of Surgery, Western Medical Center Regional Trauma Center, Santa Ana, California, USA.
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MeSH Terms
Fetal Death / etiology*
Pregnancy Complications / diagnosis,  etiology*,  surgery
Pregnancy Trimester, Second
Seat Belts / adverse effects*
Tomography, X-Ray Computed
Uterine Rupture / diagnosis,  etiology*,  surgery

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