Prenatal gunshot wound, a rare cause of maternal and fetus trauma, a case report

•Trauma during pregnancy is an important cause of adverse fetal and maternal outcomes.•Gunshot wounds to the gravid uterus are generally lethal for the fetus, and cause significant morbidity to the mother.•Gunshot wounds in a pregnant woman must be handled by a multidisciplinary team.•Training in ma...

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Bibliographic Details
Published in:	International journal of surgery case reports Vol. 59; pp. 201 - 204
Main Authors:	Molina, Gabriel A., Aguayo, William G., Cevallos, J. Marcelo, Gálvez, Patricio F., Calispa, Juan F., Arroyo, Kevin A., Guzmán, Lenin J., Cobo, María M., Gutierrez, Bernardo M., Toapanta, Ronald T., Briceño, María M.
Format:	Journal Article
Language:	English
Published:	Netherlands Elsevier Ltd 01-01-2019 Elsevier
Subjects:	Case report Fetal trauma Gunshot wound Maternal trauma Fetal trauma Case report Maternal trauma Gunshot wound
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Summary:	•Trauma during pregnancy is an important cause of adverse fetal and maternal outcomes.•Gunshot wounds to the gravid uterus are generally lethal for the fetus, and cause significant morbidity to the mother.•Gunshot wounds in a pregnant woman must be handled by a multidisciplinary team.•Training in maternal and infant resuscitative measures and surgical techniques are vital. Gunshot wounds in pregnant women, although rare, represent an important cause of fetal and maternal mortality. Understanding the mechanism of injury is essential to identify the possible injuries and to adequately manage the complexity of these emergency scenarios. We present a case of a 27-year-old woman and her 37 week fetus who were the victims of a gunshot wound. The trajectory of the bullet injured not only the mother but also the developing fetus. An emergency c-section was performed and the bullet was removed from the infant's abdomen. The two patients fully recovered and on follow up controls both patients are doing well. Trauma events, and particularly gunshot wounds in pregnant women requires promptly and adequate intervention. Coordinated efforts from multidisciplinary clinical teams are needed as well as the appropriate training in maternal and infant resuscitative measures and surgical techniques.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	2210-2612 2210-2612
DOI:	10.1016/j.ijscr.2019.05.034