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Uterine and Splenic Trauma Rupture to a Pregnant Woman: A Case Report

Received: 30 August 2014     Accepted: 13 September 2014     Published: 20 November 2014
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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.

Published in Journal of Gynecology and Obstetrics (Volume 2, Issue 6)
DOI 10.11648/j.jgo.20140206.14
Page(s) 95-99
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2014. Published by Science Publishing Group

Keywords

Uterine and Splenic Rupture-Road Traffic Accident-Pregnancy

References
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[13] Elbahraoui H, Bouziane H, Akrouch J, Lakdar A, Ferhati D. Rupture de la rate au cours de l’accouchement, à propos d’un cas. Pan Afr Med J 2011 ; 9 :21.
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Cite This Article
  • APA Style

    Diomandé Gondo, Védi Loué, Koffi N'guessan, Denis Effoh, Eléonore Gbary, et al. (2014). Uterine and Splenic Trauma Rupture to a Pregnant Woman: A Case Report. Journal of Gynecology and Obstetrics, 2(6), 95-99. https://doi.org/10.11648/j.jgo.20140206.14

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    ACS Style

    Diomandé Gondo; Védi Loué; Koffi N'guessan; Denis Effoh; Eléonore Gbary, et al. Uterine and Splenic Trauma Rupture to a Pregnant Woman: A Case Report. J. Gynecol. Obstet. 2014, 2(6), 95-99. doi: 10.11648/j.jgo.20140206.14

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    AMA Style

    Diomandé Gondo, Védi Loué, Koffi N'guessan, Denis Effoh, Eléonore Gbary, et al. Uterine and Splenic Trauma Rupture to a Pregnant Woman: A Case Report. J Gynecol Obstet. 2014;2(6):95-99. doi: 10.11648/j.jgo.20140206.14

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  • @article{10.11648/j.jgo.20140206.14,
      author = {Diomandé Gondo and Védi Loué and Koffi N'guessan and Denis Effoh and Eléonore Gbary and Kacou Yenon and Abdoulaye Ouattara and Klinna Coulibaly and Adélaide Kouassi},
      title = {Uterine and Splenic Trauma Rupture to a Pregnant Woman: A Case Report},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {2},
      number = {6},
      pages = {95-99},
      doi = {10.11648/j.jgo.20140206.14},
      url = {https://doi.org/10.11648/j.jgo.20140206.14},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20140206.14},
      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.},
     year = {2014}
    }
    

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    T1  - Uterine and Splenic Trauma Rupture to a Pregnant Woman: A Case Report
    AU  - Diomandé Gondo
    AU  - Védi Loué
    AU  - Koffi N'guessan
    AU  - Denis Effoh
    AU  - Eléonore Gbary
    AU  - Kacou Yenon
    AU  - Abdoulaye Ouattara
    AU  - Klinna Coulibaly
    AU  - Adélaide Kouassi
    Y1  - 2014/11/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.jgo.20140206.14
    DO  - 10.11648/j.jgo.20140206.14
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 95
    EP  - 99
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20140206.14
    AB  - 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.
    VL  - 2
    IS  - 6
    ER  - 

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Author Information
  • Department of Gynecology and Obstetrics, Félix Houphou?t- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire

  • Department of Gynecology and Obstetrics, Félix Houphou?t- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire

  • Department of Gynecology and Obstetrics, Félix Houphou?t- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire

  • Department of Gynecology and Obstetrics, Félix Houphou?t- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire

  • Department of Gynecology and Obstetrics, Félix Houphou?t- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire

  • Department of Digestive and Visceral Surgery, Félix Houphou?t- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire

  • Intensive Care Unit, Félix Houphou?t- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire

  • Intensive Care Unit, Félix Houphou?t- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire

  • Department of Gynecology and Obstetrics, Félix Houphou?t- Boigny’s University of Cocody- Abidjan, Faculty of Medical Sciences, University Hospital of Cocody, Cote d'Ivoire

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