Citation

Lebeau R, Diané B, Kassi AB, Yénon SK, Koffi A, Akpa-Bédi ESA, Kouassi JC. Mali Med. 2010; 25(2): 48-49.

Vernacular Title

Plaie Balistique Pelvi-Abdominale Chez une Gestante.

Affiliation

Service de Chirurgie viscérale et Digestive CHU de Cocody, Abidjan. lebeauroger@yahoo.fr

Copyright

(Copyright © 2010, Société Médicale du Mali)

DOI

unavailable

PMID

21436011

Abstract

The authors report the case of a 24-years old pregnant woman gravida 2 para 1 who sustained a gunshot injury at 23 weeks gestation. The bullet injured the rectosigmoid jonction, the jejunum and traversed the uterine cavity with resultant of fatal injury of the fetus. Laparotomy was required for treatment of the maternal injuries. Although a fetus demise was delivered by caesarian section a review of literature indicated that operative delivery should be avoided when the fetus has died already and the gravid uterus don't impaired the surgeon's ability to repair other visceral injuries. But the patient should be followed closely for signs of coagulopathy and intra uterine infection.

Language: fr