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A pregnant woman with long-standing, retained intraabdominal glass shards who gave birth to a live infant with no complications: a case report. | LitMetric

AI Article Synopsis

  • Most traumatic injuries during pregnancy involve blunt trauma, with penetrating trauma being rare, but this case highlights a pregnant woman who retained glass shards in her abdomen after an injury.
  • A 34-year-old Cameroonian woman was not diagnosed with the retained glass shards until 22 weeks into her pregnancy, yet she had an otherwise complication-free pregnancy and delivered via cesarean at 36 weeks.
  • The case emphasizes the need for careful monitoring of glass shard injuries in pregnant women, with computed tomography being essential for detecting remaining fragments, suggesting that timely removal is ideal, but conservative management may be appropriate in certain situations.

Article Abstract

Background: Most cases of traumatic injury during pregnancy involve blunt trauma, with penetrating trauma being uncommonly rare. In glass shard injuries, fragments often penetrate deeply, and multiple injuries may occur simultaneously; attention must be paid to the possibility of organ injury from the residual fragments. However, no case of this occurring during pregnancy has been reported yet.

Case Presentation: We present the case of a 34-year-old pregnant Cameroonian woman who retained intraabdominal glass shards following a penetrating injury at 13 weeks gestation and not diagnosed until 22 weeks gestation. Notably, this patient continued the pregnancy without complications and gave birth via cesarean section at 36 weeks gestation.

Conclusion: In pregnant women sustaining a penetrating glass trauma during pregnancy, careful attention should be paid to the fragments; in that case, computed tomography is a useful modality for accurately visualizing any remaining fragments in the body. Essentially, the foreign bodies in glass shard injuries during pregnancy should be removed immediately, but conservative management for term delivery is an important choice for patients at risk for preterm delivery.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10894482PMC
http://dx.doi.org/10.1186/s13256-024-04392-8DOI Listing

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