Case Report
BibTex RIS Cite

22 HAFTALIK GEBEDE ABDOMİNAL ATEŞLİ SİLAH YARALANMASI: OLGU SUNUMU

Year 2013, Volume: 2 Issue: 2, 114 - 117, 31.08.2013

Abstract


Hamilelik sırasındaki delici travmalar günümüz şiddet toplumunda giderek artan bir problem haline gelmektedir. Delici travma sonucu fetal, plasental, kord ve intraabdominal organ hasarları rapor edilmiştir. Bu travmaların derecesinin belirlenip tedavisinin yapılması için sıklıkla eksploratif laparotomi gerekli olmaktadır. 26 yaşında gebe hasta ateşli silah yaralanması sonrası hastanemiz acil servisine getirildi. Operasyon odasında preoperatif olarak yapılan sonografi muayenesinde fetal kalp atımının ciddi bradikardik (30 atım/dk) ve uterusun koagulum ile dolu olduğu saptandı. Hasta acil olarak eksploratif laparotomi için operasyona alındı. Operasyon esnasında uterus sol round ligament etrafından aktif kanamalı bir adet küçük giriş deliği ve bir adet çıkış deliği gözlendi. Diğer batın içi organlarda herhangi bir yaralanma yoktu. Maternal vital bulguların stabilizasyonundan sonra sezaryen gerçekleştirildi ve 420 gr ölü fetus çıkarıldı. Uterin defektler primer olarak kapatıldı. Hasta operasyon sonrası altıncı gün taburcu edildi.


References

  • 1. Peters CE, Sebourn CL. Wound ballistics of unstable projectiles. Part II: temporary cavity formation and tissue damage. J Trauma 1996; 40: 16-21.
  • 2. Pearlman MD, Tintinalli JE. Evaluation and treatment of the gravida and fetus following trauma during pregnancy. Obstet Gynecol Clin North Am. 1991; 18: 371-81.
  • 3. Kady DE, Gilbert WM, Anderson J ve ark. Trauma during pregnancy: an analysis of maternal and fetal outcomes in a large population. Am J Obstet Gynecol. 2004; 190: 1661-8.
  • 4. Judich A, Kuriansky J, Engelberg I ve ark. Amniotic fluid embolism following blunt abdominal trauma in pregnancy. Injury. 1998; 29: 475-7.
  • 5. Weintraub AY, Leron E, Mazor M. The pathophysiology of trauma in pregnancy: a review. J Matern Fetal Neonatal Med. 2006; 19: 601-5.
  • 6. Petrone P, Talving P, Browder T ve ark. Abdominal injuries in pregnancy: a 155-month study at two level 1 trauma centers. Injury. 2011; 42: 47-9.
  • 7. Tokat AO, Karasu S, Barlas AM ve ark. The Diaphragmatic İnjuries Due to Penetrating Thoracic Trauma. Türkiye Klinikleri Arch Lung. 2011; 12: 48-53
  • 8. Gungor ES, Sen S, Uzunlar O ve ark. Gunshot wound in pregnancy. Saudi Med J. 2006; 27: 1069-70
  • 9. Guneysel O, Yesil O, Ozturk TC ve ark. Perimortem caesarean section following maternal gunshot wounds. J Res Med Sci. 2011; 16: 1089-91.

ABDOMINAL GUNSHOT WOUND TO PREGNANT WOMAN AT 22 WEEKS OF GESTATION: A CASE REPORT

Year 2013, Volume: 2 Issue: 2, 114 - 117, 31.08.2013

Abstract


Penetrating trauma during pregnancy is an increasing problem in today’s ever - violent society. Multiple direct fetal, placental, cord and intraabdominal organs injuries have been reported as a result of penetrating. Laparotomy is often required for determine the degree of trauma as well as treatment. A 26-year-old pregnant woman was brought into the emergency department of our hospital after suffering a gunshot wound. A preoperative transabdominal ultrasonography examination in the operating room determined that the fetal heart rate was severely bradycardic (30 beats/min) and the uterus was filled with coagulum. The patient was taken urgently to the operation for exploratory laparotomy. One bullet entry point was found at the root of the round ligament, and one bullet-exit point was at the posterior wall of the uterus and that site was actively bleeding. No injury was found to the other intraabdominal organs. After stabilization of the maternal vital signs, it was carried out a cesarean section and and a 420 g exanimate female fetus was taken out. The uterine defects were closed primarily. The patient was discharged on the 6th postoperative day


References

  • 1. Peters CE, Sebourn CL. Wound ballistics of unstable projectiles. Part II: temporary cavity formation and tissue damage. J Trauma 1996; 40: 16-21.
  • 2. Pearlman MD, Tintinalli JE. Evaluation and treatment of the gravida and fetus following trauma during pregnancy. Obstet Gynecol Clin North Am. 1991; 18: 371-81.
  • 3. Kady DE, Gilbert WM, Anderson J ve ark. Trauma during pregnancy: an analysis of maternal and fetal outcomes in a large population. Am J Obstet Gynecol. 2004; 190: 1661-8.
  • 4. Judich A, Kuriansky J, Engelberg I ve ark. Amniotic fluid embolism following blunt abdominal trauma in pregnancy. Injury. 1998; 29: 475-7.
  • 5. Weintraub AY, Leron E, Mazor M. The pathophysiology of trauma in pregnancy: a review. J Matern Fetal Neonatal Med. 2006; 19: 601-5.
  • 6. Petrone P, Talving P, Browder T ve ark. Abdominal injuries in pregnancy: a 155-month study at two level 1 trauma centers. Injury. 2011; 42: 47-9.
  • 7. Tokat AO, Karasu S, Barlas AM ve ark. The Diaphragmatic İnjuries Due to Penetrating Thoracic Trauma. Türkiye Klinikleri Arch Lung. 2011; 12: 48-53
  • 8. Gungor ES, Sen S, Uzunlar O ve ark. Gunshot wound in pregnancy. Saudi Med J. 2006; 27: 1069-70
  • 9. Guneysel O, Yesil O, Ozturk TC ve ark. Perimortem caesarean section following maternal gunshot wounds. J Res Med Sci. 2011; 16: 1089-91.
There are 9 citations in total.

Details

Primary Language Turkish
Journal Section Olgu sunumları
Authors

Tolga Karacan This is me

Cemile İlhan This is me

Mustafa Üner Karacaoğlu This is me

Hikmet Koçer This is me

Taner Abdullah Usta This is me

Publication Date August 31, 2013
Submission Date January 3, 2013
Published in Issue Year 2013 Volume: 2 Issue: 2

Cite

APA Karacan, T., İlhan, C., Karacaoğlu, M. Ü., Koçer, H., et al. (2013). 22 HAFTALIK GEBEDE ABDOMİNAL ATEŞLİ SİLAH YARALANMASI: OLGU SUNUMU. Balıkesir Sağlık Bilimleri Dergisi, 2(2), 114-117.

International Peer Reviewed Journal

The journal adopts Open Access Policy and does not request article proccessing charge (APC), article publishing charge or any other charges.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.