{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T17:28:12Z","timestamp":1761845292807,"version":"3.37.3"},"reference-count":12,"publisher":"Federa\u00e7\u00e3o das Associa\u00e7\u00f5es de Ginecologia e Obstetr\u00edcia","issue":"02","license":[{"start":{"date-parts":[[2021,1,19]],"date-time":"2021-01-19T00:00:00Z","timestamp":1611014400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Rev Bras Ginecol Obstet"],"published-print":{"date-parts":[[2021,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Transmediastinal gunshot wounds (TGWs) may lead to life-threatening injuries of vital organs such as large vessels, the esophagus, and lungs. Although they are not commonly encountered in pregnant women, additional caution should be given to these patients. Physical examination for the diagnosis and the choice of treatment modality contain controversial points in hemodynamically stable patients, and resuscitation has excessive importance due to physiological changes in pregnancy. We present a hemodynamically stable 26-week pregnant woman brought to the emergency department for TGW. She had a 1-cm diameter of bullet entrance hole on the right anterior 4th intercostal space, 2\u2009cm lateral to the sternum, and a 3-cm diameter exit hole on the right posterior 12th intercostal space on the midscapular line. With our conservative approach, she had an uncomplicated pregnancy period, and gave birth to a healthy baby at term.<\/jats:p>","DOI":"10.1055\/s-0040-1715142","type":"journal-article","created":{"date-parts":[[2021,1,20]],"date-time":"2021-01-20T00:11:55Z","timestamp":1611101515000},"page":"145-147","source":"Crossref","is-referenced-by-count":2,"title":["Transmediastinal Gunshot Wound in a Pregnant Patient with Stable Hemodynamics"],"prefix":"10.61622","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0930-775X","authenticated-orcid":false,"given":"Ozhan","family":"Ozdem\u0131r","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Gulhane School of Medicine, University of Health Sciences, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0148-0945","authenticated-orcid":false,"given":"Cemal Resat","family":"Atalay","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, University of Health Sciences, Ministry of Health Ankara City Hospital, Ankara, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"47794","published-online":{"date-parts":[[2021,1,19]]},"reference":[{"issue":"01","key":"ref1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1016\/j.ajog.2013.01.021","article-title":"Trauma in pregnancy: an updated systematic review","volume":"209","author":"H Mendez-Figueroa","year":"2013","journal-title":"Am J Obstet Gynecol"},{"issue":"01","key":"ref2","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.injury.2010.06.026","article-title":"Abdominal injuries in pregnancy: a 155-month study at two level 1 trauma centers","volume":"42","author":"P Petrone","year":"2011","journal-title":"Injury"},{"issue":"02","key":"ref3","doi-asserted-by":"publisher","first-page":"322","DOI":"10.1097\/00005373-200002000-00024","article-title":"Transected subscapular artery in a transmediastinal gunshot wound presenting as a hemothorax: treatment with embolotherapy","volume":"48","author":"D G Buck","year":"2000","journal-title":"J Trauma"},{"issue":"09","key":"ref4","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1590\/s0100-72032013000900008","article-title":"Gunshot wound to the pregnant uterus: case report","volume":"35","author":"H Osnaya-Moreno","year":"2013","journal-title":"Rev Bras Ginecol Obstet"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1097\/00005373-200210000-00003","article-title":"Reevaluation of diagnostic procedures for transmediastinal gunshot wounds","volume":"53","author":"N A Stassen","year":"2002","journal-title":"J Trauma"},{"issue":"10","key":"ref6","doi-asserted-by":"publisher","first-page":"1247","DOI":"10.1007\/s00268-002-6522-2","article-title":"Trans-mediastinal gunshot wounds: are \u201cstable\u201d patients really stable?","volume":"26","author":"K K Nagy","year":"2002","journal-title":"World J Surg"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"985097","DOI":"10.1155\/2014\/985097","article-title":"Transmediastinal and transcardiac gunshot wound with hemodynamic stability","volume":"2014","author":"L Zarain Obrador","year":"2014","journal-title":"Case Rep Surg"},{"issue":"01","key":"ref8","doi-asserted-by":"publisher","first-page":"147","DOI":"10.1097\/AOG.0b013e3181ab6014","article-title":"Trauma in pregnancy","volume":"114","author":"H L Brown","year":"2009","journal-title":"Obstet Gynecol"},{"issue":"09","key":"ref9","doi-asserted-by":"publisher","first-page":"933","DOI":"10.1046\/j.1365-2044.2003.03362_30.x","article-title":"Anaesthetic management of the parturient with massive peripartum haemorrhage and fetal demise","volume":"58","author":"A Chulu","year":"2003","journal-title":"Anaesthesia"},{"issue":"02","key":"ref10","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1016\/j.athoracsur.2006.05.107","article-title":"Triage and outcome of patients with mediastinal penetrating trauma","volume":"83","author":"J H Burack","year":"2007","journal-title":"Ann Thorac Surg"},{"issue":"01","key":"ref11","first-page":"87","article-title":"ACOG educational bulletin. 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