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<p>Penetrating abdominal trauma during pregnancy is rare, accounting for only 9% of abdominal injuries during pregnancy. However, it can lead to severe maternal and fetal complications. We report an unusual case of intrauterine fetal facial injury following maternal abdominal stabbing. A 36-year-old gravida 8 para 6 woman at 27 weeks of gestation with a history of methadone and marijuana use sustained abdominal stab trauma during an assault. This was followed by premature rupture of membranes one week later, and a fetal facial laceration was identified during cesarean delivery. Initial trauma evaluation at an external center revealed no intra-abdominal injury. On admission, cervical dilation and amniotic fluid leakage were observed. Ultrasonography revealed a viable fetus without placental abruption. Despite conservative management, the patient progressed to active preterm labor and underwent cesarean delivery. Intraoperatively, a 2-cm laceration was observed in the anterior uterine wall. An 840-g female neonate was delivered. Postnatal examination revealed a 5-cm irregular facial incision extending from the tragus to the corner of the mouth, consistent with an intrauterine penetrating injury. The facial wound was considered unlikely to be iatrogenic, as no sharp instruments were used in close proximity to the fetal face during cesarean exploration. The necrotic wound margins, absence of active bleeding, and partially healed appearance strongly suggested an antepartum penetrating injury rather than a surgically induced lesion. The wound was repaired with primary suturing by the plastic surgery team. Both maternal and neonatal outcomes were favorable following multidisciplinary management. This case highlights the potential for delayed obstetric complications and fetal injury after penetrating trauma during pregnancy and underscores the importance of close maternal–fetal monitoring. This case also underscores the importance of screening for domestic violence during pregnancy and implementing preventive community-based interventions.</p>

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Intrauterine Fetal Facial Injury Following Maternal Abdominal Stab Trauma in Pregnancy: A Rare Case Report

  • 期刊论文

  • 发表日期：

    2026年6月17日

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  • Mehmet Bora Bozgeyik,
  • Fatih Tuncel,
  • Eda Güner Özen,
  • Yaşam Kemal Akpak

摘要

Penetrating abdominal trauma during pregnancy is rare, accounting for only 9% of abdominal injuries during pregnancy. However, it can lead to severe maternal and fetal complications. We report an unusual case of intrauterine fetal facial injury following maternal abdominal stabbing. A 36-year-old gravida 8 para 6 woman at 27 weeks of gestation with a history of methadone and marijuana use sustained abdominal stab trauma during an assault. This was followed by premature rupture of membranes one week later, and a fetal facial laceration was identified during cesarean delivery. Initial trauma evaluation at an external center revealed no intra-abdominal injury. On admission, cervical dilation and amniotic fluid leakage were observed. Ultrasonography revealed a viable fetus without placental abruption. Despite conservative management, the patient progressed to active preterm labor and underwent cesarean delivery. Intraoperatively, a 2-cm laceration was observed in the anterior uterine wall. An 840-g female neonate was delivered. Postnatal examination revealed a 5-cm irregular facial incision extending from the tragus to the corner of the mouth, consistent with an intrauterine penetrating injury. The facial wound was considered unlikely to be iatrogenic, as no sharp instruments were used in close proximity to the fetal face during cesarean exploration. The necrotic wound margins, absence of active bleeding, and partially healed appearance strongly suggested an antepartum penetrating injury rather than a surgically induced lesion. The wound was repaired with primary suturing by the plastic surgery team. Both maternal and neonatal outcomes were favorable following multidisciplinary management. This case highlights the potential for delayed obstetric complications and fetal injury after penetrating trauma during pregnancy and underscores the importance of close maternal–fetal monitoring. This case also underscores the importance of screening for domestic violence during pregnancy and implementing preventive community-based interventions.