Abruptio Placenta Caused by Gunshot Injury in Second Trimester: A Case Report

Abstract

A twenty-nine year old, multigravida woman was admitted to our clinic due to a gunshot injury. She had 24 weeks of gestation. It was observed by ultrasonography that there were 6 cm hypoechogenic image retroplacentally located and 1 cm hyperechogenic focus near to this image, and there was also a 2 cm actively bleeding incision area in subumbilical region by inspection of abdomen. We decided emergent operation because of the diagnosis of abruptio placenta. During the operation, we observed a piece of bullet between the placenta and myometrium and 50% separation of the placenta. We removed the piece of bullet, repaired the uterine perforation and then performed a caesarean section. We considered that this case is important because a gunshot injury had only caused an abruptio placenta without affecting mother and her fetus seriously.