Trauma to a pregnant woman, irrespective of its intensity and the
lack of any resulting shock, is a potential danger to both the mother and
fetus. Severe damage to the right rectus abdominus muscle associated with a
uterine broad right ligament hematoma is a rare complication of an accident
during pregnancy. This study describes the case of a 31-year-old primiparous
pregnant woman who had been a victim of a road accident at 28 weeks of
pregnancy. The patient was struck by a car, with the impact occurring on the
right anterolateral area of the patient’s abdomen. The pregnancy continued
normally and the patient was ultimately delivered vaginally at 41 weeks of
gestation. Despite the trauma, the baby was normally grown and had Apgar scores
of 9 and 10 at 1 and 5 minutes of life. The patient underwent a laparotomy in
the immediate postpartum period for a significant hemoperitoneum; this revealed
the lesions and allowed treatment. The postoperative course was uneventful, and
the patient was discharged on the 6th postpartum day. The detachment and the
damage of the rectus abdominus muscle associated with a hematoma of the right
broad ligament, as observed in this patient, appear exceptional, as does the
fact that they were of no real significance to the mother or her fetus until
after delivery. This case highlights that the management and monitoring of a
pregnant victim of a road accident (regardless of gestational age, the seat of
the traumatic impact point and the importance of shock) must be performed in a
specialised service. The complete and thorough initial examination and a
methodical and rigorous para-clinical supervision in a specialised service are
necessary to allow the early detection of any complications and to provide
better overall care.
Author(s)
Details
Loué V
Houphouet Boigny’s University of Cocody, Abidjan, Côte d’Ivoire
and Mother-Child Department, Faculty of Medical Sciences, University Hospital
of Cocody, Côte d’Ivoire.
Effoh D
Houphouet Boigny’s University of Cocody, Abidjan, Côte d’Ivoire
and Mother-Child Department, Faculty of Medical Sciences, University Hospital
of Cocody, Côte d’Ivoire.
Gbary E
Houphouet Boigny’s University of Cocody, Abidjan, Côte d’Ivoire
and Mother-Child Department, Faculty of Medical Sciences, University Hospital
of Cocody, Côte d’Ivoire.
Yao A
Houphouet Boigny’s University of Cocody, Abidjan, Côte d’Ivoire
and Mother-Child Department, Faculty of Medical Sciences, University Hospital
of Cocody, Côte d’Ivoire.
Ouattara
L
Houphouet Boigny’s University of Cocody, Abidjan, Côte d’Ivoire
and Mother-Child Department, Faculty of Medical Sciences, University Hospital
of Cocody, Côte d’Ivoire.
Please
see the book here:- https://doi.org/10.9734/bpi/msraa/v7/5538
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