Intrauterine fetal death caused by seatbelt injury

Objective: Severe motor vehicle accidents involving pregnant women can result in fetal and neonatal death. We describe a case in which fetal death occurred due to relatively mild seatbelt injuries and present the characteristic magnetic resonance imaging (MRI) findings of the placenta. Case Report:...

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Main Authors: Shizuka Yamada, Koji Nishijima, Jin Takahashi, Nozomu Takahashi, Chiyo Tamamura, Yoshio Yoshida
Format: Article
Language:English
Published: Elsevier 2017-08-01
Series:Taiwanese Journal of Obstetrics & Gynecology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1028455917301584
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author Shizuka Yamada
Koji Nishijima
Jin Takahashi
Nozomu Takahashi
Chiyo Tamamura
Yoshio Yoshida
author_facet Shizuka Yamada
Koji Nishijima
Jin Takahashi
Nozomu Takahashi
Chiyo Tamamura
Yoshio Yoshida
author_sort Shizuka Yamada
collection DOAJ
description Objective: Severe motor vehicle accidents involving pregnant women can result in fetal and neonatal death. We describe a case in which fetal death occurred due to relatively mild seatbelt injuries and present the characteristic magnetic resonance imaging (MRI) findings of the placenta. Case Report: A 26-year-old primigravid woman at 20 weeks gestation was involved in an automobile accident. Although she suffered only a seatbelt injury, fetal death subsequently occurred. Contrast-enhanced MRI showed the region compressed by the seatbelt as a low-intensity band without enhancement, and serum alpha-fetoprotein and hemoglobin F levels were elevated. Conclusion: Careful monitoring, including blood and abdominal examinations, should be performed when pregnant women suffer seatbelt injuries.
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spelling doaj.art-1fdb6790f50d48fe9fc139eba430faea2022-12-22T01:58:09ZengElsevierTaiwanese Journal of Obstetrics & Gynecology1028-45592017-08-0156455856010.1016/j.tjog.2016.08.009Intrauterine fetal death caused by seatbelt injuryShizuka YamadaKoji NishijimaJin TakahashiNozomu TakahashiChiyo TamamuraYoshio YoshidaObjective: Severe motor vehicle accidents involving pregnant women can result in fetal and neonatal death. We describe a case in which fetal death occurred due to relatively mild seatbelt injuries and present the characteristic magnetic resonance imaging (MRI) findings of the placenta. Case Report: A 26-year-old primigravid woman at 20 weeks gestation was involved in an automobile accident. Although she suffered only a seatbelt injury, fetal death subsequently occurred. Contrast-enhanced MRI showed the region compressed by the seatbelt as a low-intensity band without enhancement, and serum alpha-fetoprotein and hemoglobin F levels were elevated. Conclusion: Careful monitoring, including blood and abdominal examinations, should be performed when pregnant women suffer seatbelt injuries.http://www.sciencedirect.com/science/article/pii/S1028455917301584Abruptio placentaeAlpha-fetoproteinsFetal hemoglobinFetomaternal transfusionWounds and injuries
spellingShingle Shizuka Yamada
Koji Nishijima
Jin Takahashi
Nozomu Takahashi
Chiyo Tamamura
Yoshio Yoshida
Intrauterine fetal death caused by seatbelt injury
Taiwanese Journal of Obstetrics & Gynecology
Abruptio placentae
Alpha-fetoproteins
Fetal hemoglobin
Fetomaternal transfusion
Wounds and injuries
title Intrauterine fetal death caused by seatbelt injury
title_full Intrauterine fetal death caused by seatbelt injury
title_fullStr Intrauterine fetal death caused by seatbelt injury
title_full_unstemmed Intrauterine fetal death caused by seatbelt injury
title_short Intrauterine fetal death caused by seatbelt injury
title_sort intrauterine fetal death caused by seatbelt injury
topic Abruptio placentae
Alpha-fetoproteins
Fetal hemoglobin
Fetomaternal transfusion
Wounds and injuries
url http://www.sciencedirect.com/science/article/pii/S1028455917301584
work_keys_str_mv AT shizukayamada intrauterinefetaldeathcausedbyseatbeltinjury
AT kojinishijima intrauterinefetaldeathcausedbyseatbeltinjury
AT jintakahashi intrauterinefetaldeathcausedbyseatbeltinjury
AT nozomutakahashi intrauterinefetaldeathcausedbyseatbeltinjury
AT chiyotamamura intrauterinefetaldeathcausedbyseatbeltinjury
AT yoshioyoshida intrauterinefetaldeathcausedbyseatbeltinjury