Abid Skander, Toumi Dhekra, Abdelmoula Ghada, Mesrati Mohamed Amine, Khlifi Abdeljalil, Bouchahda Haifa
Faculty of Medicine of Sousse, University of Sousse, Sousse, 4000, Tunisia.
Department of Obstetrics and Gynecology, Farhat Hached University Hospital of Sousse, LR12ES03, 4000, Sousse, Tunisia.
Pan Afr Med J. 2025 Jun 4;51:32. doi: 10.11604/pamj.2025.51.32.47368. eCollection 2025.
Intrauterine fetal demise due to penetrating abdominal trauma is rare, and complete umbilical cord transection is exceptionally uncommon. We report the case of a 29-week pregnant woman who sustained multiple abdominal stab wounds, leading to fetal death and complete transection of the umbilical cord. The maternal and fetal risks associated with trauma rise significantly with gestational age. Despite advances in emergency care, management of trauma in pregnancy remains complex and lacks standardized protocols. A multidisciplinary approach in specialized settings is essential to improve maternal and fetal outcomes. This case is reported due to its rarity and to underscore the importance of early recognition and coordinated intervention in traumatic injuries during pregnancy.
因腹部穿透伤导致的宫内胎儿死亡较为罕见，而脐带完全横断则极为罕见。我们报告一例29周孕妇，其腹部多处被刺伤，导致胎儿死亡及脐带完全横断。与创伤相关的母婴风险随孕周显著增加。尽管急诊护理有所进步，但孕期创伤的管理仍然复杂且缺乏标准化方案。在专业环境中采用多学科方法对于改善母婴结局至关重要。报告此病例是因其罕见性，并强调孕期创伤早期识别和协调干预的重要性。
