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

• Published in: Journal of surgical case reports Vol. 2022; no. 12; p. rjac559
• Main Authors: Mahmood, Ismail, Abdelrahman, Husham, Hakim, Suhail, El-Menyar, Ayman, Rizoli, Sandro, Asim, Mohammad, Al-Hassani, Ammar, Abdulrahman, Yassir, Strandvik, Gustav, Al-Thani, Hassan
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 01.12.2022
• Subjects: Case Report
• ISSN: 2042-8812; 2042-8812
• DOI: 10.1093/jscr/rjac559

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.