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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Format: | Article |
Language: | English |
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eScholarship Publishing, University of California
2020-11-01
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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. |
first_indexed | 2024-12-12T18:47:39Z |
format | Article |
id | doaj.art-b0e59a2fc5cf45398e465f5a3eca41e7 |
institution | Directory Open Access Journal |
issn | 2474-252X |
language | English |
last_indexed | 2024-12-12T18:47:39Z |
publishDate | 2020-11-01 |
publisher | eScholarship Publishing, University of California |
record_format | Article |
series | Clinical Practice and Cases in Emergency Medicine |
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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