Fetal demise due to stab wound with umbilical cord transection: a case report

TL;DR

A pregnant woman suffered a rare fetal death after sustaining stab wounds that completely cut the umbilical cord.

Contribution

This case report highlights the exceptional rarity of complete umbilical cord transection due to penetrating trauma during pregnancy.

Findings

A 29-week pregnancy resulted in fetal demise following multiple abdominal stab wounds and umbilical cord transection.

Trauma during pregnancy poses significant maternal and fetal risks, especially as gestational age increases.

Multidisciplinary care in specialized settings is crucial for managing traumatic injuries during pregnancy.

Abstract

Intrauterine fetal demise due to penetrating abdominal trauma is rare, and complete umbilical cord transection is exceptionally uncommon. We report the case of a 29-week pregnant woman who sustained multiple abdominal stab wounds, leading to fetal death and complete transection of the umbilical cord. The maternal and fetal risks associated with trauma rise significantly with gestational age. Despite advances in emergency care, management of trauma in pregnancy remains complex and lacks standardized protocols. A multidisciplinary approach in specialized settings is essential to improve maternal and fetal outcomes. This case is reported due to its rarity and to underscore the importance of early recognition and coordinated intervention in traumatic injuries during pregnancy.

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