{"pk":936,"title":"Case Report of Traumatic Uterine Rupture in a Multigravida Woman with Emergency Department Cesarean Section","subtitle":null,"abstract":"Introduction:\n Uterine ruptures in blunt trauma are an extremely rare complication. Furthermore, while perimortem cesarean sections in cardiac arrest patients are a well-established practice in emergency medicine, cesarean sections in the emergency department are rarely performed on non-arresting patients.\nCase Report:\n A multigravida woman at approximately 24 weeks gestation presented as a transfer from an outside hospital after a motor vehicle collision. Upon arriving to our facility, she underwent an emergency cesarean section in the trauma bay and was found to have a uterine rupture with the fetus free floating in the right upper quadrant of the abdomen.\nConclusion:\n Uterine rupture is a rare but important complication of blunt abdominal trauma in pregnant patients. Resuscitative cesarean sections may be necessary for favorable outcomes. A well prepared and diversified team was essential to maternal survival.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"traumatic uterine rupture"},{"word":"emergency cesarean section"},{"word":"trauma in pregnancy"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/14t136pq","frozenauthors":[{"first_name":"Krista","middle_name":"Shaw","last_name":"Wiese","name_suffix":"","institution":"Loma Linda University, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"Stacey","middle_name":"","last_name":"Ernest","name_suffix":"","institution":"Loma Linda University, Department of Emergency Medicine, Loma Linda, California","department":"None"},{"first_name":"W.","middle_name":"Seth","last_name":"Dukes","name_suffix":"","institution":"Loma Linda University, Department of Emergency Medicine, Loma Linda, California","department":"None"}],"date_submitted":"2020-10-09T22:41:03-04:00","date_accepted":"2020-10-09T22:41:03-04:00","date_published":"2020-10-09T22:41:55-04:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/936/galley/684/download/"}]}