| Peer-Reviewed

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

Received: 30 August 2014    Accepted: 13 September 2014    Published: 20 November 2014
Views:       Downloads:
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), 2024. Published by Science Publishing Group

Keywords

Uterine and Splenic Rupture-Road Traffic Accident-Pregnancy

References
[1] El-Kady D, Gilbert WM, Anderson J, Danielsen B, Towner D, Smith LH. Trauma during pregnancy: an analysis of maternal and fetal outcomes in a large population. Am J Obstet Gynecol 2004; 190: 1661-8.
[2] Mirza FG, Devine PC, Gaddipati S. Trauma in pregnancy: a systematic approach. Am J Perinatol 2010; 27 (7):579-86.
[3] Barré M, Winer N, Caroit Y, Boog G, Philippe H-J. Traumatisme au cours de la grossesse : pertinence des éléments de surveillance dans l’évaluation des suites obstétricales. A propos d’une série de 98 patientes. J Gynécol Obstét Biol Reprod 2006 ; 33 : 673-7.
[4] Corrina M. Oxford, Jonathan Ludmir. Trauma in pregnancy. Clinical obstetrics and gynecology 2009,52,4:611-29.
[5] Kouamé KM, Anoumou NM,Traoré M, Kirioua BJ, Varango GG. Traumatisme et grossesse. Analyse rétrospective d’une courte série de 7 cas au Centre Hospitalier de Treichville (Abidjan-Cote d’Ivoire). Med Afr Noire 2009; 56 (6) : 301-4.
[6] Orji EO, Fadiora SO, Ogunlola IO, Badru OS. Road traffic accidents in pregnancy in southwest Nigeria: a 21-year review. J Obstet Gynaecol 2002; 22(5):516-8.
[7] Bernstein MP. Imaging of traumatic injuries in pregnancy. Am Coll Radiol 2008; 26: 23-37.
[8] Zhu HB, Jin Y. Uterine rupture following a road traffic accident. Ir J Med Sci 2011 ;180,3 :745-7.
[9] Vaysse C, Mignot F, Benezech J-P, Parent O. Rupture utérine traumatique: une complication rare des accidents de la voie publique au cours de la grossesse. A propos d’un cas. J Gynécol Obstét Biol Reprod 2007 ; 36 : 611-4.
[10] Badaoui R, El-Kettani C, Radji M, Samkaoui M-A, Byhet N, Ossart M. Traumatisme de la rate au cours de la grossesse (à propos d’un cas). Ann Fr Anesth Reanim 2003 ; 22(8) :736-8.
[11] Rafanomezantsoa TA, Hariolynirina MOJ, Johannes RF, Zava MA, Rhaerinantenaina F, Andriananpanalinarivo HR, Raveloson NE. Rupture splénique post-traumatique chez une femme enceinte de 36 semaines. Med Afr Noire 2013, 60 (8/9) : 373-6
[12] Vendittelli F, Manciet-Labarchede C, Fabaste JL, Malinas Y. Lésions traumatiques de l’utérus gravide et de son contenu : aspects médico-légaux ; Rev fr Gynécol Obstét 1994, 89, 7-9 : 393-400.
[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.
[14] Muller L, Bénézet JF, Navarro F, Eledjam JJ, De la Coussaye JE. Contusions abdominales graves : stratégie diagnostique et thérapeutique. Encycl Méd Chir , Elsevier, Paris, Anesthésie-Réanimation, 36-725-C-10,2003, 12p.
[15] Tribune Libre. Que penser de la pratique de l’expression abdominale en 2008 ? Gynécol Obstét Fertil 2008; 36: 1171-4.
[16] Richardson JD. Changes in the management of injuries to the liver and spleen. J Am coll Surg 2005; 200: 648-69.
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

    Copy | Download

    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

    Copy | Download

    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

    Copy | Download

  • @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}
    }
    

    Copy | Download

  • TY  - JOUR
    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  - 

    Copy | Download

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

  • Sections