Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case report

Traumatic uterine rupture is uncommon but can be fatal and life-threatening for both the mother and infant. In addition to complications caused by trauma itself, such as pelvic fracture, gestational complications such as placental abruption, abortion, premature labor, rupture of membranes, maternal...

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Main Authors: Sebeom Jeon, Suyoung Park, Soohyun Oh, Jayun Cho
Format: Article
Language:English
Published: Korean Society of Traumatology 2023-09-01
Series:Journal of Trauma and Injury
Subjects:
Online Access:http://jtraumainj.org/upload/pdf/jti-2022-0070.pdf
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author Sebeom Jeon
Suyoung Park
Soohyun Oh
Jayun Cho
author_facet Sebeom Jeon
Suyoung Park
Soohyun Oh
Jayun Cho
author_sort Sebeom Jeon
collection DOAJ
description Traumatic uterine rupture is uncommon but can be fatal and life-threatening for both the mother and infant. In addition to complications caused by trauma itself, such as pelvic fracture, gestational complications such as placental abruption, abortion, premature labor, rupture of membranes, maternal death, and stillbirth can occur. In particular, fetuses have been reported to have a high mortality rate in cases of traumatic uterine rupture. A 35-year-old pregnant female patient fell from the fourth floor and was admitted to our trauma center. We observed large hemoperitoneum, pelvic fractures, and spleen laceration, and the fetus was presumed to be located outside the uterus. The pregnant woman was hemodynamically unstable. Although the fetus was stillborn, angioembolization and surgical treatment were properly performed through collaboration with an interventional radiologist, obstetrician, and trauma surgeons. After two orthopedic operations, the patient was discharged after 34 days. This case report suggests the importance of a multidisciplinary approach in the treatment of pregnant trauma patients.
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publishDate 2023-09-01
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spelling doaj-art-bce5d0a9a4f947a89e32920caf111d9b2025-01-16T05:40:00ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-09-0136328128510.20408/jti.2022.00701240Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case reportSebeom Jeon0Suyoung Park1Soohyun Oh2Jayun Cho3 Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, Korea Department of Radiology, Gachon University Gil Medical Center, Incheon, Korea Department of Obstetrics and Gynecology, Gachon University Gil Medical Center, Incheon, Korea Department of Trauma Surgery, Gachon University Gil Medical Center, Incheon, KoreaTraumatic uterine rupture is uncommon but can be fatal and life-threatening for both the mother and infant. In addition to complications caused by trauma itself, such as pelvic fracture, gestational complications such as placental abruption, abortion, premature labor, rupture of membranes, maternal death, and stillbirth can occur. In particular, fetuses have been reported to have a high mortality rate in cases of traumatic uterine rupture. A 35-year-old pregnant female patient fell from the fourth floor and was admitted to our trauma center. We observed large hemoperitoneum, pelvic fractures, and spleen laceration, and the fetus was presumed to be located outside the uterus. The pregnant woman was hemodynamically unstable. Although the fetus was stillborn, angioembolization and surgical treatment were properly performed through collaboration with an interventional radiologist, obstetrician, and trauma surgeons. After two orthopedic operations, the patient was discharged after 34 days. This case report suggests the importance of a multidisciplinary approach in the treatment of pregnant trauma patients.http://jtraumainj.org/upload/pdf/jti-2022-0070.pdfuterine ruptureblunt injuriesstillbirthinterdisciplinary studiescase reports
spellingShingle Sebeom Jeon
Suyoung Park
Soohyun Oh
Jayun Cho
Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case report
Journal of Trauma and Injury
uterine rupture
blunt injuries
stillbirth
interdisciplinary studies
case reports
title Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case report
title_full Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case report
title_fullStr Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case report
title_full_unstemmed Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case report
title_short Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case report
title_sort ruptured uterus in a 36 week pregnant patient with hemorrhagic shock after blunt trauma in korea a case report
topic uterine rupture
blunt injuries
stillbirth
interdisciplinary studies
case reports
url http://jtraumainj.org/upload/pdf/jti-2022-0070.pdf
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AT suyoungpark ruptureduterusina36weekpregnantpatientwithhemorrhagicshockafterblunttraumainkoreaacasereport
AT soohyunoh ruptureduterusina36weekpregnantpatientwithhemorrhagicshockafterblunttraumainkoreaacasereport
AT jayuncho ruptureduterusina36weekpregnantpatientwithhemorrhagicshockafterblunttraumainkoreaacasereport