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[Relevant trauma in a haemodynamic stable patient should be computed tomographed in spite of pregnancy]
Mads Agerholm Lützen1, Britta Frederiksen-Møller, Jan Stener Jørgensen
1Det Sundhedsvidenskabelige Fakultet, Syddansk Universitet, Denmark.
A 37 year-old pregnant woman, gestational age 32 weeks, was involved in a motor vehicle accident. Abdominal ultrasound revealed no pathological findings, and the woman was discharged after 24 hours of observation. Three weeks later a healthy girl was delivered by emergency caesarean section due to placental abruption. During surgery a large amount of blood was detected and signs of previous trauma and haematoma to the spleen were revealed. Post-operative abdominal computed tomography scan was performed, revealing a 5 × 7 cm intrasplenic haematoma.
A 37 year-old pregnant woman, gestational age 32 weeks, was involved in a motor vehicle accident. Abdominal ultrasound revealed no pathological findings, and the woman was discharged after 24 hours of observation. Three weeks later a healthy girl was delivered by emergency caesarean section due to placental abruption. During surgery a large amount of blood was detected and signs of previous trauma and haematoma to the spleen were revealed. Post-operative abdominal computed tomography scan was performed, revealing a 5 × 7 cm intrasplenic haematoma.
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