We present an unusual case of an un- stable pelvic fracture during pregnancy period, who suf- fered fetal death and splenic rupture simultaneously which developed massive delayed hemorrhage in abdomen. When considerin...We present an unusual case of an un- stable pelvic fracture during pregnancy period, who suf- fered fetal death and splenic rupture simultaneously which developed massive delayed hemorrhage in abdomen. When considering potential causes of fetal death, direct trauma to the uterus, placenta, or fetus was not associated with a higher fetal mortality rate, compared with maternal hemorrhage. A cesarean section and splenectomy could res-cue the maternal life from the hemorrhage situation. Suc- cessful treatment of these rare cases is possible with careful pre-, peri-, and post-operative evaluation of the mother and fetus by a multidisciplinary team.展开更多
文摘We present an unusual case of an un- stable pelvic fracture during pregnancy period, who suf- fered fetal death and splenic rupture simultaneously which developed massive delayed hemorrhage in abdomen. When considering potential causes of fetal death, direct trauma to the uterus, placenta, or fetus was not associated with a higher fetal mortality rate, compared with maternal hemorrhage. A cesarean section and splenectomy could res-cue the maternal life from the hemorrhage situation. Suc- cessful treatment of these rare cases is possible with careful pre-, peri-, and post-operative evaluation of the mother and fetus by a multidisciplinary team.