Panamerican Journal of Trauma, Critical Care & Emergency Surgery

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VOLUME 6 , ISSUE 1 ( January-April, 2017 ) > List of Articles

CASE REPORT

Unstable Chest Surgical Management in Pregnancy: Case Report and Literature Review

Mauricio Velásquez, María F Escobar, Javier A Carvajal, Albaro J Nieto

Citation Information : Velásquez M, Escobar MF, Carvajal JA, Nieto AJ. Unstable Chest Surgical Management in Pregnancy: Case Report and Literature Review. Panam J Trauma Crit Care Emerg Surg 2017; 6 (1):52-57.

DOI: 10.5005/jp-journals-10030-1173

License: CC BY 3.0

Published Online: 01-04-2017

Copyright Statement:  Copyright © 2017; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction

We present a review of the case, management, and progress of an obstetric patient, who suffered a car accident with subsequent severe blunt thoracic trauma (BTT) resulting in flail chest (FC).

Case report

This is a Hispanic female of 44 years involved in a car accident at 14 weeks of gestation, who presented with FC, sternal fracture, and severe respiratory compromise. This woman received surgical management and care in an intensive obstetric care management unit, presenting with osteomyelitis as a complication, along with physical deconditioning and prolonged hospital stay, finally with an obstetric and functional favorable outcome.

Conclusion

Although severe BTT in pregnant patients is uncommon, it is important to highlight the appropriate medical management required for these patients to achieve a successful outcome, as was in this case. This is the only case report of a FC surgical management in pregnancy that we have had in our institution so far.

How to cite this article

Nieto AJ, Velásquez M, Escobar MF, Carvajal JA, Granados M. Unstable Chest Surgical Management in Pregnancy: Case Report and Literature Review. Panam J Trauma Crit Care Emerg Surg 2017;6(1):52-57.

Introducción

Presentar una revisión de caso, manejo y progreso de una paciente obstétrica que sufrió un accidente automovilístico con posterior trauma torácico severo (TTS) resultando en tórax inestable (TI).

Caso clínico

Este es un caso de mujer hispana de 44 años involucrada en accidente automovilístico a las 14 semanas de gestación que presento TI, fractura esternal y compromiso respiratorio severo.

 Esta mujer recibió tratamiento quirúrgico y atención en unidad de cuidado obstétrico intensivo, presentando osteomielitis como complicación, junto con desacondicionamiento físico y hospitalización prolongada. Finalmente con resultado obstétrico y funcional favorable.

Conclusión

Aunque el TTS en pacientes embarazadas es poco frecuente, es importante destacar el adecuado manejo médico requerido en estos pacientes, con el fin de lograr resultados satisfactorios como sucedió en este caso. Este es el único reporte de caso de manejo quirúrgico de tórax inestable durante el embarazo presentado en nuestra institución hasta ahora.


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