Traumatisme de la rate au cours de la grossesse (à propos d’un cas)

Badaoui, R.; Elkettani, Chafik; Radji, Maksum; Samkaoui, M.A.; Byhet, N.; Ossart, M

doi:10.1016/s0750-7658(03)00307-1

Cited by 8 publications

(3 citation statements)

References 7 publications

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“…This is the case with our observation of trauma on the pregnancy of 39 SA, in the event of rupture of a hollow organ, a clinical assessment may be difficult. However, apart from classic Open Journal of Emergency Medicine lesions, Badaoui R et al [17] have shown that a ruptured spleen is the most common intraperitoneal hemorrhagic lesion in closed abdominal trauma. in pregnant women, that it is probably linked to the venous hypertension of pregnancy and Splenic lesions are often associated with uterine lesions, both of which may cause acute hemoperitoneum.…”

Section: Discussionmentioning

confidence: 99%

Severe Head Trauma in a 39-Week Pregnant Woman with Amenorrhea (SA) Apropos of a Case at CHU Ignace Deen in Conakry

Touré,

Camara,

Joseph

et al. 2023

OJEM

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Objective: Was to present the management of a pregnant woman at 39 SA received for severe head trauma in the emergency room. Severe trauma in pregnant women can have serious maternal and especially fetal consequences in the absence of a diagnostic and therapeutic strategy. We report the case of serious trauma in a 39 WA pregnant woman, nulliparous. Admitted to the emergency room for serious head trauma following a public road accident. The clinical picture was dominated by impaired consciousness with a Glasgow score of 8/15, right otorrhagia, desaturation at 89% AA and respiratory rate at 36 cycles/min. The obstetrical examination noted a fundal height of 32 cm, a fetal heart sound (BCF) of 167 beats/min, a cephalic presentation, a cervical opening of 3 cm and uterine contractures. Imaging examinations outside the hospital because not available. The abdominopelvic ultrasound shows a monofetal pregnancy without placental abruption. The cerebral scanner shows an edemato-haemorrhagic contusion intra parenchymatous frontotemporal left. Respiratory support and an indication for caesarean section allowed the extraction of a live male child, Apgar at one minute 10/10 to five minutes 10/10, weighing 3000 g without abnormality on clinical examination. The evolution was favorable after 27 days of resuscitation. Conclusion: The care of a severely traumatized pregnant woman relies above all on good multidisciplinary coordination, based on close collaboration between emergency physicians, anesthetists-resuscitators, obstetricians, pediatricians, neonatologists and biologists.

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Section: Discussionmentioning

confidence: 99%

Severe Head Trauma in a 39-Week Pregnant Woman with Amenorrhea (SA) Apropos of a Case at CHU Ignace Deen in Conakry

Touré,

Camara,

Joseph

et al. 2023

OJEM

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“…L'abstention chirurgicale est possible à condition d'avoir un état hémodynamique stable avec épanchement minime [8]. …”

Section: Discussionunclassified

Rupture de la rate au cours de l’accouchement: à propos d’un cas

Elbahraoui

Bouziane²,

Akrouch³

et al. 2011

Pan Afr Med Jrnl

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La rupture de rate est une extrême urgence chirurgicale abdominale qui met très rapidement en jeu le pronostic vital. Les étiologies fréquemment retrouvées sont les traumatismes abdominaux par contusions ou plaies pénétrantes. La survenue d'une rupture de rate au cours de l'accouchement est un événement rare. Nous rapportons dans cette observation le cas d'une rupture splénique suite à des expressions abdominales survenue au cours d'un accouchement dystocique.

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“…The diagnosis of splenic rupture may be difficult due to the poor clinical presentation and signs, especially when no evidence of trauma or predisposing factors. In fact, the clinical presentation of a splenic rupture can be insidious: a falsely reassuring stable blood pressure while a hemoperitoneum is being grown slowly, then signs of shock and collapse occur [10]. Thus, based on these clinical presentations, a cesarean section with spinal anesthesia and Pfannenstiel incision was performed, and the decision of the conversion into general anesthesia with vertical incision was taken just after detecting an upper origin of the bleeding.…”

Section: Gastrosplenic Ligamentmentioning

confidence: 99%

Splenic Rupture After Sexual Intercourse in a Pregnant Woman: an Extremely Rare Case

et al. 2021

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A 33-year-old pregnant woman presented at 36 weeks gestation to the emergency with acute abdominal pain that started after vaginal intercourse. No bruising was present on the abdominal examination. An emergent cesarean delivery was performed for resistant hypotension and collapse. A fetus with cardiac arrest was delivered, and active spleen bleeding was identified at the splenocolic and gastrosplenic ligament insertion. The patient had a conservative treatment of the spleen and an uncomplicated postoperative course. The infant was resuscitated and discharged after 18 days. In conclusion, traumatic spleen rupture is an etiology to consider in pregnant women presenting with acute abdominal pain following sexual intercourse. Early suspicion and emergent cesarean delivery are the keys to optimize maternal and perinatal outcomes.

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Traumatisme de la rate au cours de la grossesse (à propos d’un cas)

Cited by 8 publications

References 7 publications

Severe Head Trauma in a 39-Week Pregnant Woman with Amenorrhea (SA) Apropos of a Case at CHU Ignace Deen in Conakry

Severe Head Trauma in a 39-Week Pregnant Woman with Amenorrhea (SA) Apropos of a Case at CHU Ignace Deen in Conakry

Rupture de la rate au cours de l’accouchement: à propos d’un cas

Splenic Rupture After Sexual Intercourse in a Pregnant Woman: an Extremely Rare Case

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