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OP-Journal 2021; 37(03): 252-257
DOI: 10.1055/a-1203-3471
Fachwissen

Unfallbedingte Notfälle bei Schwangerschaft – Fallbeispiel mit Beckenfraktur und Notsectio

Traumatic Emergencies During Pregnancy – Case Report of Pelvic Fracture and Emergency Cesarean Section
Sofia Kilgus
,
Frederik Maximilian Schäfer
,
Ulrich Stöckle
,
Sven Märdian
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Zusammenfassung

Die Versorgung von unfallbedingten Notfällen in der Schwangerschaft gehört selbst in überregionalen Traumazentren nicht zur täglichen Routine. Wir präsentieren den Fall einer 27 Jahre alten, nicht vorerkrankten Polytraumapatientin in der 30. Schwangerschaftswoche. Die führende Verletzung war eine Beckenfraktur mit spinopelviner Dissoziation und kreislaufrelevanter, intrapelviner Blutung. Durch ein konsequentes Polytraumamanagement, notfallmäßige Sectio, Ligatur der Corona mortis, Packing und operative Frakturstabilisierung des Beckens konnte das Leben der Mutter und des Kindes gerettet werden.

Abstract

Emergency trauma management is no daily routine, not even in supraregional trauma centers. We present the case of a 27-year-old, healthy polytrauma patient in the 30th week of pregnancy. The main injury was a pelvic fracture with spinopelvic dissociation and hemodynamically significant intrapelvic bleeding. Due to a consequent polytrauma management, emergency caesarean section, ligation of the corona mortis, packing and surgical fracture fixation the motherʼs and childrenʼs life could be saved.

Schlüsselwörter

Schwangerschaft - Polytrauma - Beckenfraktur - Strahlenschäden - Notsectio

Key words

pregnancy - polytrauma - pelvic fracture - radiation damage - emergency caesarean section


Publication History

Article published online:
12 July 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

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