Volume 2, Issue 6, November 2014, Page: 95-99
Uterine and Splenic Trauma Rupture to a Pregnant Woman: A Case Report
Diomandé Gondo, Department of Gynecology and Obstetrics, Félix Houphouët- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire
Védi Loué, Department of Gynecology and Obstetrics, Félix Houphouët- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire
Koffi N'guessan, Department of Gynecology and Obstetrics, Félix Houphouët- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire
Denis Effoh, Department of Gynecology and Obstetrics, Félix Houphouët- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire
Eléonore Gbary, Department of Gynecology and Obstetrics, Félix Houphouët- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire
Kacou Yenon, Department of Digestive and Visceral Surgery, Félix Houphouët- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire
Abdoulaye Ouattara, Intensive Care Unit, Félix Houphouët- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire
Klinna Coulibaly, Intensive Care Unit, Félix Houphouët- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire
Adélaide Kouassi, Department of Gynecology and Obstetrics, Félix Houphouët- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire
Received: Aug. 30, 2014;       Accepted: Sep. 13, 2014;       Published: Nov. 20, 2014
DOI: 10.11648/j.jgo.20140206.14      View  2846      Downloads  192
Abstract
Background: In developed countries where statistics are well defined, 6 to 7 % of road accidents complicate pregnancies and involve pregnant women as a pedestrian in about 4 % of cases. Case: A 39 years old pregnant woman had been victim of a road accident at six months of pregnancy, when as a pedestrian. She was struck directly on the abdomen by a motorcyclist resulting in multiple traumas. She presented in the aftermath of the accident, a cranial vault fracture without mass effect or commitment, a left bimalleolar non-displaced fracture, uterine rupture with fetal death and splenic rupture. Emergency laparotomy performed revealed intra-abdominal injuries and allowed treatment. A conservative uterine suture and total splenectomy were performed. Conclusion: Trauma to a pregnant woman can have serious consequences for both mother and fetus. A careful physical examination and good strategy for requesting additional examinations and a good organization of the medical team rehearsed for this purpose can provide better overall care.
Keywords
Uterine and Splenic Rupture-Road Traffic Accident-Pregnancy
To cite this article
Diomandé Gondo, Védi Loué, Koffi N'guessan, Denis Effoh, Eléonore Gbary, Kacou Yenon, Abdoulaye Ouattara, Klinna Coulibaly, Adélaide Kouassi, Uterine and Splenic Trauma Rupture to a Pregnant Woman: A Case Report, Journal of Gynecology and Obstetrics. Vol. 2, No. 6, 2014, pp. 95-99. doi: 10.11648/j.jgo.20140206.14
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