title: Management of hemodynamically unstable pelvic fracture in pregnancy: a case report and review of literature.
abstract: We present an unusual case of an unstable pelvic fracture during pregnancy period, who suffered fetal death and splenic rupture simultaneously which developed massive delayed hemorrhage in abdomen. When considering potential causes of fetal death, direct trauma to the uterus, placenta, or fetus was not associated with a higher fetal mortality rate, compared with maternal hemorrhage. A cesarean section and splenectomy could rescue the maternal life from the hemorrhage situation. Successful treatment of these rare cases is possible with careful pre-, peri-, and post-operative evaluation of the mother and fetus by a multidisciplinary team.
authors.affiliation: Department of Orthopaedics, Provincial Hospital Affiliated to Shandong University, Jinan 250021, China.
authors.forename: Peng
authors.initials: P
authors.lastname: Zhang
authors.forename: Dong-Sheng
authors.initials: DS
authors.lastname: Zhou
authors.forename: Jing-Mei
authors.initials: JM
authors.lastname: Hu
authors.forename: Dong-Sheng
authors.initials: DS
authors.lastname: Zhou
authors.forename: Lian-Xin
authors.initials: LX
authors.lastname: Li
authors.forename: Wei-Dong
authors.initials: WD
authors.lastname: Mu
mesh_terms: D002585:Cesarean Section; D005260:Female; D005313:Fetal Death; D050723:Fractures, Bone; D006470:Hemorrhage; D006801:Humans; D010384:Pelvic Bones / Q000293:injuries; D011247:Pregnancy