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Traumatic liver rupture in pregnancy.
1Department of Obstetrics and Gynecology, University of South Florida, Tampa, Florida, USA.
American Journal of Obstetrics and Gynecology
|April 16, 1999
Summary
Blunt liver trauma in pregnant drivers can cause severe intra-abdominal hemorrhage. Prompt diagnosis and monitoring are crucial for maternal and fetal well-being following motor vehicle accidents.
Area of Science:
- Trauma surgery
- Obstetrics
- Emergency medicine
Background:
- Motor vehicle accidents (MVAs) pose risks to pregnant occupants.
- Blunt abdominal trauma during pregnancy requires careful evaluation.
Observation:
- Two pregnant women sustained blunt liver trauma as unrestrained drivers in MVAs.
- One patient in the second trimester and one in the third trimester were involved.
Findings:
- One patient presented with overt liver injury on CT, necessitating surgical intervention due to fetal distress.
- The second patient initially appeared stable but returned with significant intra-abdominal hemorrhage from a liver laceration.
Implications:
- Liver trauma in pregnancy can have delayed presentations.
- Vigilant monitoring and timely intervention are vital for managing blunt liver trauma in pregnant patients.
- Seatbelt use is critical for preventing severe maternal and fetal injuries.