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J Trauma Inj : Journal of Trauma and Injury

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Case Reports
Ruptured uterus in a 36-week pregnant patient with hemorrhagic shock after blunt trauma in Korea: a case report
Sebeom Jeon, Suyoung Park, Soohyun Oh, Jayun Cho
J Trauma Inj. 2023;36(3):281-285.   Published online January 18, 2023
DOI: https://doi.org/10.20408/jti.2022.0070
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  • 30 Download
AbstractAbstract PDF
Traumatic uterine rupture is uncommon but can be fatal and life-threatening for both the mother and infant. In addition to complications caused by trauma itself, such as pelvic fracture, gestational complications such as placental abruption, abortion, premature labor, rupture of membranes, maternal death, and stillbirth can occur. In particular, fetuses have been reported to have a high mortality rate in cases of traumatic uterine rupture. A 36-year-old pregnant female patient fell from the fourth floor and was admitted to our trauma center. We observed large hemoperitoneum, pelvic fractures, and spleen laceration, and the fetus was presumed to be located outside the uterus. The pregnant woman was hemodynamically unstable. Although the fetus was stillborn, angioembolization and surgical treatment were properly performed through collaboration with an interventional radiologist, obstetrician, and trauma surgeons. After two orthopedic operations, the patient was discharged after 34 days. This case report suggests the importance of a multidisciplinary approach in the treatment of pregnant trauma patients.
Summary
Endovascular treatment of traumatic iliac venous injury combined with phlegmasia cerulea dolens in Korea: a case report
Suyoung Park, Jeong Ho Kim, Jung Han Hwang, Jayun Cho
J Trauma Inj. 2023;36(2):157-160.   Published online December 1, 2022
DOI: https://doi.org/10.20408/jti.2022.0039
  • 1,628 View
  • 54 Download
AbstractAbstract PDF
Traumatic iliac venous injury is rare but can be fatal. Although surgical management is considered a primary treatment method, urgent treatment is required when deep venous thrombosis and subsequent phlegmasia cerulea dolens is combined. It is difficult to treat by surgical management, and pharmaceutic thrombolysis cannot be applied due to the trauma history. Here, we describe a case of unilateral traumatic iliac venous injury and subsequent diffuse venous thrombosis in the affected iliofemoral and infrapopliteal veins, combined with phlegmasia cerulea dolens, treated with endovascular management, including bare metal stent insertion and aspiration thrombectomy.
Summary

J Trauma Inj : Journal of Trauma and Injury