Severe Trauma of Uterus and the Right Limb during a Road Accident at the Department of Obstetrics and Gynecology of the Teaching Hospital Souro Sanou of Bobo-Dioulasso: A Case Report and Review of Literature ()
Affiliation(s)
1Department of Obstetrics and Gynecology, University Joseph Ki-Zerbo, CUHSS, Bobo-Dioulasso, Burkina Faso.
2Service of Obstetrics and Gynecology, University Joseph Ki-Zerbo, CHR-OHG, Ouayigouya, Burkina Faso.
3Department of Surgery, Teaching Hospital Souro Sanou, Bobo-Dioulasso, Burkina Faso.
4Teaching Hospital Souro Sanou, Bobo-Dioulasso, Burkina Faso.
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.
Share and Cite:
Moussa, B. , Issa, O. , Malick, D. , Biessan, Y. and Evelyne, K. (2021) Severe Trauma of Uterus and the Right Limb during a Road Accident at the Department of Obstetrics and Gynecology of the Teaching Hospital Souro Sanou of Bobo-Dioulasso: A Case Report and Review of Literature.
Open Journal of Obstetrics and Gynecology,
11, 1836-1842. doi:
10.4236/ojog.2021.1112170.
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