Department of Neurosurgery, University of Tennessee Health Science Center, Memphis, TN, USA.
Semmes-Murphey Clinic, Memphis, TN, USA.
Childs Nerv Syst. 2021 Dec;37(12):3973-3976. doi: 10.1007/s00381-021-05124-9. Epub 2021 Mar 24.
We present a rare case of an in utero intracranial gunshot wound with survival of the baby and neurosurgical intervention in the first 6 h of life.
A pregnant 19-year old sustained multiple gunshot wounds and underwent an emergency cesarean section. At the time of delivery, there was a penetrating wound noted to the uterus and to the left side of the baby's head. The baby was taken urgently for craniotomy. Thorough washout was performed, and a pericranial graft was harvested from the frontal vertex to assist in dural closure. The largest displaced bone fragment was soaked in betadine and sutured back into place. The baby was observed for several days and then discharged home with normal neurological examination.
There are scattered reports of in utero intracranial gunshot wounds in the literature dating back to the nineteenth century; however, our case appears to be the first reported that involved urgent surgical intervention.
我们报告了一例罕见的宫内颅内枪伤病例，婴儿在出生后 6 小时内幸存并接受了神经外科干预。
一名 19 岁孕妇遭受多处枪伤并接受了紧急剖宫产术。分娩时，发现子宫和婴儿头部左侧有穿透性伤口。婴儿紧急接受开颅手术。彻底冲洗后，从额顶点采集颅骨膜移植物以协助硬脑膜关闭。最大的移位骨片浸泡在聚维酮碘中并缝合回原处。婴儿观察了几天，然后出院时神经检查正常。
文献中有散在的关于 19 世纪宫内颅内枪伤的报道；然而，我们的病例似乎是首例涉及紧急手术干预的报道。
