Damage to the Right Rectus Abdominus Muscle and Hematoma of the Right Uterine Broad Ligament: Rare Complications of a Road Accident during Pregnancy

Abstract

Severe damage to the right rectus abdominus muscle associated with a uterine broad right ligament hematoma is rare complications of an accident during pregnancy. We report the case of a 31 years old primiparous pregnant woman, who had been victim of a road accident at 28 weeks of pregnancy, when as a pediatrian she was hit by a car. The site of impact was in the right anterolateral area on the abdomen. The pregnancy continued normally and she was ultimately delivered vaginally at 41 weeks of gestation. The baby was normally grown and had Apgar scores of 9 and 10 at 1 and 5 minutes of life. She underwent a laparotomy in the immediate postpartum period for a significant hemoperitoneum; this revealed the lesions and allowed treatment. The postoperative course was uneventful and the patient was discharged on the 6th post-partum day.