A multidisciplinary approach to rescue a full-term pregnant and her fetus after blunt abdominal trauma: A case report and literature review

Author:

Mahmood Ismail1,Abdelrahman Husham1,Hakim Suhail1,El-Menyar Ayman12ORCID,Rizoli Sandro1,Asim Mohammad1,Al-hassani Ammar1,Abdulrahman Yassir1,Strandvik Gustav13,Al-Thani Hassan1

Affiliation:

1. Hamad Medical Corporation Department of Surgery, Trauma Surgery, , Doha, Qatar

2. Weill Cornell Medical College Department of Clinical Medicine, , Doha, Qatar

3. Qatar University Department of Surgery, College of Medicine, , Doha, Qatar

Abstract

Abstract Blunt abdominal trauma due to motor vehicle crash is one of the leading causes of mortality during pregnancy. Though the trauma team plays a critical role in the initial management, a multidisciplinary contribution is essential to ensure the safety of the mother and her fetus. This case report followed the multidisciplinary approach for the management of a 32-year-old female during the last week of pregnancy. She sustained blunt trauma causing maternal and fetal distress due to abruption of the placenta with a large intrauterine and retroplacental hemorrhage, retro-hepatic and retroperitoneal hemorrhage, pseudoaneurysm of uterine arteries leading to postpartum hemorrhage. Immediate intervention and management at a Level 1 trauma center led to survival of both the mother and infant.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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