Massoumi Jasmine Y, Bebawy Caroline M, Gaffar Sheema
Department of Pediatrics, Division of Neonatology, Los Angeles General Medical Center, Los Angeles, CA 90033, USA.
Department of Pediatrics, Children's Hospital of Los Angeles, Los Angeles, CA 90027, USA.
Children (Basel). 2025 Sep 4;12(9):1179. doi: 10.3390/children12091179.
Motor vehicle accidents account for the majority of abdominal trauma in pregnancy and can result in fetal morbidity and mortality. With advancing gestation, the fetus becomes more vulnerable to injury.
A preterm neonate is born at 32 weeks' gestation via cesarean section due to placental abruption after maternal motor vehicle accident. Initially, the infant presented with anemia, thrombocytopenia, and acute kidney injury in the setting of renal contusions.
Hyponatremia, acidosis, oliguria, and uremia progressed to frank anuric renal failure, requiring several months of hemodialysis before transition to peritoneal dialysis for chronic renal replacement therapy at home.
Fetal renal injury resulting in postnatal renal failure is a rare but potentially devastating complication of blunt abdominal injury during pregnancy. Sonographic and laboratory evaluation of a neonate with suspected in utero injury after maternal motor vehicle accident is imperative, as is a high index of suspicion for neonatal renal injury.
机动车事故是孕期腹部创伤的主要原因，可导致胎儿发病和死亡。随着孕周增加，胎儿更容易受到伤害。
一名孕32周的早产儿因母亲机动车事故后胎盘早剥经剖宫产出生。最初，婴儿在肾挫伤的情况下出现贫血、血小板减少和急性肾损伤。
低钠血症、酸中毒、少尿和尿毒症进展为明显的无尿性肾衰竭，在转为家庭腹膜透析进行慢性肾脏替代治疗之前，需要进行数月的血液透析。
胎儿肾损伤导致出生后肾衰竭是孕期钝性腹部损伤的一种罕见但可能具有毁灭性的并发症。对母亲机动车事故后怀疑有宫内损伤的新生儿进行超声和实验室评估至关重要，对新生儿肾损伤的高度怀疑指数也同样重要。
