Presentation
Motor vehicle accident. Left pelvis pain.
Patient Data
Age: 25 years
Gender: Female
From the case:
Pelvic radiograph in third trimester
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Fetus noted with head in pelvic brim (?engaged). Apparent widening of the pubis symphysis most likely relates to ligamentous laxity of pregnancy. No fractures identified.
Case Discussion
The decision to perform the x-ray was made hoping it would be normal and thus make a CT unnecessary. Treating pregnant patients is always challenging as high radiation studies should be avoided if possible.