Introduction: We present a review of the case, management,
and progress of an obstetric patient, who suffered a car accident
with subsequent severe blunt thoracic trauma (BTT) resulting
in flail chest (FC).
Case report: This is a Hispanic female of 44 years involved
in a car accident at 14 weeks of gestation, who presented with
FC, sternal fracture, and severe respiratory compromise. This
woman received surgical management and care in an intensive
obstetric care management unit, presenting with osteomyelitis
as a complication, along with physical deconditioning and
prolonged hospital stay, finally with an obstetric and functional
Conclusion: Although severe BTT in pregnant patients is
uncommon, it is important to highlight the appropriate medical
management required for these patients to achieve a successful
outcome, as was in this case. This is the only case report of
a FC surgical management in pregnancy that we have had in
our institution so far.
Keywords: Flail chest, Pregnancy, Rib fracture.
How to cite this article: Nieto AJ, Velásquez M, Escobar MF,
Carvajal JA, Granados M. Unstable Chest Surgical Management
in Pregnancy: Case Report and Literature Review. Panam
J Trauma Crit Care Emerg Surg 2017;6(1):52-57.
Source of support: Nil
Conflict of interest: None