Abstract
The authors reported a case of trauma with uterus rupture at 35 weeks gestation with fetal death in uterus with a trauma of the right limb injuries during a serious road accident. Aim: the aim is to show the increasing of road accident with the motorized tricycle and their many risks for pregnant woman. Case Presentation: our patient was thrown from the back cargo of a motorized tricycle (three-wheeled vehicle) after a collision with a truck in a rural area from 150 km to Bobo-Dioulasso. She sustained a closed abdominal injury and a severe right lower limb open injury. At admission in our department in the Teaching Hospital, she was conscious, shocked with hemodynamic instability, including low blood pressure (75/52 mmHg), rapid heart rate (140 pulses per minute), rapid breath rate (40 per minute), and cold extremities. Abdominal examination was painful with uterine hypertonia, 28 cm height uterus, and no fetal heart heartbeat. A laparotomy in urgency revealed a rupture of the uterus fundus with a dead fetus. A conservative surgical treatment was performed. An open trauma to the right limb was managed by the orthopedists with a good outcome. Conclusion: Accident trauma during pregnancy is becoming more and more frequent with the increase in means of transport in urban and inter urban areas. The transport ways of the pregnant woman must take into account her safety and that of the fetus.
Highlights
Road accidents affect 5% to 7% of pregnancies and are the leading cause of maternal death from non-obstetrical causes between 14 and 44 years old [1]
The authors reported a case of trauma with uterus rupture at 35 weeks gestation with fetal death in uterus with a trauma of the right limb injuries during a serious road accident
Aim: the aim is to show the increasing of road accident with the motorized tricycle and their many risks for pregnant woman
Summary
Road accidents affect 5% to 7% of pregnancies and are the leading cause of maternal death from non-obstetrical causes between 14 and 44 years old [1]. The traumatic causes of uterus rupture are rare and concern less than 1% of pregnant women involved in serious road accidents. It’s about a life-threatening obstetric emergency involving the maternal fetal prognosis. The management is most often multidisciplinary in the event of associated lesions [1] [2]. We report a case of uterus rupture from traumatic origin and a deep fascio-cutanous wound on the back of the right foot and the right limb during serious road accident
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