Citation

Yamada S, Nishijima K, Takahashi J, Takahashi N, Tamamura C, Yoshida Y. Taiwan J. Obstet. Gynecol. 2017; 56(4): 558-560.

Affiliation

Department of Obstetrics and Gynecology, University of Fukui, 23-3 Matsuoka-Shimoaizuki, Eiheiji-cho, Fukui 910-1193, Japan.

Copyright

(Copyright © 2017, Elsevier Publishing)

DOI

10.1016/j.tjog.2016.08.009

PMID

28805619

Abstract

OBJECTIVE: Severe motor vehicle accidents involving pregnant women can result in fetal and neonatal death. We describe a case in which fetal death occurred due to relatively mild seatbelt injuries and present the characteristic magnetic resonance imaging (MRI) findings of the placenta. CASE REPORT: A 26-year-old primigravid woman at 20 weeks gestation was involved in an automobile accident. Although she suffered only a seatbelt injury, fetal death subsequently occurred. Contrast-enhanced MRI showed the region compressed by the seatbelt as a low-intensity band without enhancement, and serum alpha-fetoprotein and hemoglobin F levels were elevated.

CONCLUSION: Careful monitoring, including blood and abdominal examinations, should be performed when pregnant women suffer seatbelt injuries.

Copyright © 2017. Published by Elsevier B.V.

Language: en

Keywords

Abruptio placentae; Alpha-fetoproteins; Fetal hemoglobin; Fetomaternal transfusion; Wounds and injuries