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Transmediastinal gunshot wound in a pregnant patient with stable hemodynamics
Ozdemir, Ozhan; Atalay, Cemal Resat.
  • Ozdemir, Ozhan; University of Health Sciences. Gulhane School of Medicine. Department of Obstetrics and Gynecology. Ankara. TR
  • Atalay, Cemal Resat; University of Health Sciences. Ministry of Health Ankara City Hospital. Department of Obstetrics and Gynecology. Ankara. TR
Rev. bras. ginecol. obstet ; 43(2): 145-147, Feb. 2021. graf
Article in English | LILACS | ID: biblio-1156090
ABSTRACT
Abstract Transmediastinal gunshot wounds (TGWs) may lead to life-threatening injuries of vital organs such as large vessels, the esophagus, and lungs. Although they are not commonly encountered in pregnant women, additional caution should be given to these patients. Physical examination for the diagnosis and the choice of treatment modality contain controversial points in hemodynamically stable patients, and resuscitation has excessive importance due to physiological changes in pregnancy. We present a hemodynamically stable 26-week pregnant woman brought to the emergency department for TGW. She had a 1-cm diameter of bullet entrance hole on the right anterior 4th intercostal space, 2 cm lateral to the sternum, and a 3-cm diameter exit hole on the right posterior 12th intercostal space on the midscapular line.With our conservative approach, she had an uncomplicated pregnancy period, and gave birth to a healthy baby at term.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Pregnancy Complications / Thoracic Injuries / Wounds, Gunshot Type of study: Diagnostic study Limits: Adult / Female / Humans / Pregnancy Language: English Journal: Rev. bras. ginecol. obstet Journal subject: Gynecology / Obstetrics Year: 2021 Type: Article Affiliation country: Turkey Institution/Affiliation country: University of Health Sciences/TR

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Full text: Available Index: LILACS (Americas) Main subject: Pregnancy Complications / Thoracic Injuries / Wounds, Gunshot Type of study: Diagnostic study Limits: Adult / Female / Humans / Pregnancy Language: English Journal: Rev. bras. ginecol. obstet Journal subject: Gynecology / Obstetrics Year: 2021 Type: Article Affiliation country: Turkey Institution/Affiliation country: University of Health Sciences/TR