Transmediastinal Gunshot Wound in a Pregnant Patient with Stable Hemodynamics

Detalhes bibliográficos
Autor(a) principal: Ozdemır,Ozhan
Data de Publicação: 2021
Outros Autores: Atalay,Cemal Resat
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Revista brasileira de ginecologia e obstetrícia (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000200145
Resumo: 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.
id FEBRASGO-1_e43e2d6989ee70fea72beca9b24b04a5
oai_identifier_str oai:scielo:S0100-72032021000200145
network_acronym_str FEBRASGO-1
network_name_str Revista brasileira de ginecologia e obstetrícia (Online)
repository_id_str
spelling Transmediastinal Gunshot Wound in a Pregnant Patient with Stable HemodynamicsgunshottransmediastinaltraumapregnancyAbstract 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.Federação Brasileira das Sociedades de Ginecologia e Obstetrícia2021-02-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000200145Revista Brasileira de Ginecologia e Obstetrícia v.43 n.2 2021reponame:Revista brasileira de ginecologia e obstetrícia (Online)instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)instacron:FEBRASGO10.1055/s-0040-1715142info:eu-repo/semantics/openAccessOzdemır,OzhanAtalay,Cemal Resateng2021-03-26T00:00:00Zoai:scielo:S0100-72032021000200145Revistahttp://www.scielo.br/rbgohttps://old.scielo.br/oai/scielo-oai.phppublicações@febrasgo.org.br||rbgo@fmrp.usp.br1806-93390100-7203opendoar:2021-03-26T00:00Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)false
dc.title.none.fl_str_mv Transmediastinal Gunshot Wound in a Pregnant Patient with Stable Hemodynamics
title Transmediastinal Gunshot Wound in a Pregnant Patient with Stable Hemodynamics
spellingShingle Transmediastinal Gunshot Wound in a Pregnant Patient with Stable Hemodynamics
Ozdemır,Ozhan
gunshot
transmediastinal
trauma
pregnancy
title_short Transmediastinal Gunshot Wound in a Pregnant Patient with Stable Hemodynamics
title_full Transmediastinal Gunshot Wound in a Pregnant Patient with Stable Hemodynamics
title_fullStr Transmediastinal Gunshot Wound in a Pregnant Patient with Stable Hemodynamics
title_full_unstemmed Transmediastinal Gunshot Wound in a Pregnant Patient with Stable Hemodynamics
title_sort Transmediastinal Gunshot Wound in a Pregnant Patient with Stable Hemodynamics
author Ozdemır,Ozhan
author_facet Ozdemır,Ozhan
Atalay,Cemal Resat
author_role author
author2 Atalay,Cemal Resat
author2_role author
dc.contributor.author.fl_str_mv Ozdemır,Ozhan
Atalay,Cemal Resat
dc.subject.por.fl_str_mv gunshot
transmediastinal
trauma
pregnancy
topic gunshot
transmediastinal
trauma
pregnancy
description 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.
publishDate 2021
dc.date.none.fl_str_mv 2021-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000200145
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0100-72032021000200145
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1055/s-0040-1715142
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
publisher.none.fl_str_mv Federação Brasileira das Sociedades de Ginecologia e Obstetrícia
dc.source.none.fl_str_mv Revista Brasileira de Ginecologia e Obstetrícia v.43 n.2 2021
reponame:Revista brasileira de ginecologia e obstetrícia (Online)
instname:Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
instacron:FEBRASGO
instname_str Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
instacron_str FEBRASGO
institution FEBRASGO
reponame_str Revista brasileira de ginecologia e obstetrícia (Online)
collection Revista brasileira de ginecologia e obstetrícia (Online)
repository.name.fl_str_mv Revista brasileira de ginecologia e obstetrícia (Online) - Federação Brasileira das Sociedades de Ginecologia e Obstetrícia (FEBRASGO)
repository.mail.fl_str_mv publicações@febrasgo.org.br||rbgo@fmrp.usp.br
_version_ 1754115945471672320