Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section

Introduction: Uterine ruptures in blunt trauma are an extremely rare complication. Furthermore, while perimortem cesarean sections in cardiac arrest patients are a well-established practice in emergency medicine, cesarean sections in the emergency department are rarely performed on non-arresting pat...

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Main Authors: Krista Shaw Wiese, Stacey Ernest, W. Seth Dukes
Format: Article
Language:English
Published: eScholarship Publishing, University of California 2020-11-01
Series:Clinical Practice and Cases in Emergency Medicine
Online Access:https://escholarship.org/uc/item/14t136pq
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author Krista Shaw Wiese
Stacey Ernest
W. Seth Dukes
author_facet Krista Shaw Wiese
Stacey Ernest
W. Seth Dukes
author_sort Krista Shaw Wiese
collection DOAJ
description Introduction: Uterine ruptures in blunt trauma are an extremely rare complication. Furthermore, while perimortem cesarean sections in cardiac arrest patients are a well-established practice in emergency medicine, cesarean sections in the emergency department are rarely performed on non-arresting patients. Case Report: A multigravida woman at approximately 24 weeks gestation presented as a transfer from an outside hospital after a motor vehicle collision. Upon arriving to our facility, she underwent an emergency cesarean section in the trauma bay and was found to have a uterine rupture with the fetus free floating in the right upper quadrant of the abdomen. Conclusion: Uterine rupture is a rare but important complication of blunt abdominal trauma in pregnant patients. Resuscitative cesarean sections may be necessary for favorable outcomes. A well prepared and diversified team was essential to maternal survival.
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spelling doaj.art-b0e59a2fc5cf45398e465f5a3eca41e72022-12-22T00:15:28ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-11-014410.5811/cpcem.2020.8.48388cpcem-04-623Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean SectionKrista Shaw WieseStacey ErnestW. Seth DukesIntroduction: Uterine ruptures in blunt trauma are an extremely rare complication. Furthermore, while perimortem cesarean sections in cardiac arrest patients are a well-established practice in emergency medicine, cesarean sections in the emergency department are rarely performed on non-arresting patients. Case Report: A multigravida woman at approximately 24 weeks gestation presented as a transfer from an outside hospital after a motor vehicle collision. Upon arriving to our facility, she underwent an emergency cesarean section in the trauma bay and was found to have a uterine rupture with the fetus free floating in the right upper quadrant of the abdomen. Conclusion: Uterine rupture is a rare but important complication of blunt abdominal trauma in pregnant patients. Resuscitative cesarean sections may be necessary for favorable outcomes. A well prepared and diversified team was essential to maternal survival.https://escholarship.org/uc/item/14t136pq
spellingShingle Krista Shaw Wiese
Stacey Ernest
W. Seth Dukes
Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section
Clinical Practice and Cases in Emergency Medicine
title Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section
title_full Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section
title_fullStr Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section
title_full_unstemmed Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section
title_short Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section
title_sort case report of traumatic uterine rupture in a multigravida woman with emergency department cesarean section
url https://escholarship.org/uc/item/14t136pq
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