摘要
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</span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">limb injuries during a serious road accident. </span><b><span style="font-family:Verdana;">Aim:</span></b><span style="font-family:Verdana;"> the aim is to show the increasing of road accident with the motorized tricycle and their many risks for pregnant woman. </span><b><span style="font-family:Verdana;">Case Presentation:</span></b><span style="font-family:Verdana;"> 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 depart</span><span style="font-family:Verdana;">ment in the Teaching Hospital, she was conscious, shocked with hemodyn</span><span style="font-family:Verdana;">amic 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</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">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. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> 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.
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</span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">limb injuries during a serious road accident. </span><b><span style="font-family:Verdana;">Aim:</span></b><span style="font-family:Verdana;"> the aim is to show the increasing of road accident with the motorized tricycle and their many risks for pregnant woman. </span><b><span style="font-family:Verdana;">Case Presentation:</span></b><span style="font-family:Verdana;"> 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 depart</span><span style="font-family:Verdana;">ment in the Teaching Hospital, she was conscious, shocked with hemodyn</span><span style="font-family:Verdana;">amic 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</span></span></span></span><span><span><span style="font-family:""> </span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">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. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> 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.
作者
Bambara Moussa
Ouedraogo Issa
Diallo Malick
Yaro Biessan
Komboïgo Evelyne
Bambara Moussa;Ouedraogo Issa;Diallo Malick;Yaro Biessan;Komboïgo Evelyne(Department of Obstetrics and Gynecology, University Joseph Ki-Zerbo, CUHSS, Bobo-Dioulasso, Burkina Faso;Service of Obstetrics and Gynecology, University Joseph Ki-Zerbo, CHR-OHG, Ouayigouya, Burkina Faso;Department of Surgery, Teaching Hospital Souro Sanou, Bobo-Dioulasso, Burkina Faso;Teaching Hospital Souro Sanou, Bobo-Dioulasso, Burkina Faso)
