TY - JOUR PY - 2012// TI - Transvaginal penetrating fetal head injury JO - Archivos Argentinos de Pediatria A1 - Moscote Salazar, Luis Rafael A1 - Alcalá-Cerra, Gabriel A1 - Castellar Leones, Sandra Milena A1 - Gutiérrez Paternina, Juan José SP - e99 EP - e102 VL - 110 IS - 5 N2 - In utero head traumas are extremely rare and are usually caused by penetrating injuries in the thoracic or abdominal wall that affect the uterine cavity. Transvaginal fetal head injuries have been reported in exceptional cases. This is a case-report of a fetus affected by penetrating head trauma with skull fracture and intra-ventricular hemorrhage after his mother's self-insertion of a blunt object, violently through the vagina. Trauma disrupted the integrity of intrauterine membranes and precipitated preterm labor. After birth, there was a debridement of the scalp and surgical management of the fracture was performed; nevertheless, the patient died four weeks later, due to neonatal sepsis. Management of these wounds must not only be focused on repairing the primary wound, but on preventing the infectious complications.
Language: es
LA - es SN - 0004-0487 UR - http://dx.doi.org/10.1590/S0325-00752012000500015 ID - ref1 ER -