road traffic accidents constitute the most common cause . among the penetrating injuries , gunshot and
stab injury are the main causes in the western world . in india , proper incidence and causes are not known .
though in western literature it is unheard of the arrow injury , it is a common finding in india , especially in the tribal areas .
delivery of a baby with wound caused by penetrating injury in mother is not commonly encountered . here , we are presenting a case of intra uterine injury of a fetus caused by an arrow striking his mother at term .
a male baby of 2.7 kg weight was brought to outpatient department with the history of delivery with an injury on the right cheek [ figure 1 ] .
the cesarean section was done as the mother had a penetrating arrow injury on her lower abdomen due to an assault 9 h before .
she came to hospital with the arrow still penetrating in her body [ figure 2 ] .
baby with the wound on the face mother with the arrow there was a four cornered star shaped injury of 2.5 cm diameter on the right cheek .
as general anesthesia could not be arranged immediately , the procedure was done under local anesthesia .
trauma during pregnancy is a unique event because two patients , the mother and her fetus , are at risk and need special evaluation and management .
penetrating injury as a cause of maternal - fetal injury during pregnancy is found in one third of such cases .
gunshot , stab wounds , and attempt of illegal abortion are the most common causes of penetrating trauma . in penetrating trauma , probability of maternal organ damage
is about 1540% and fetal injury is about 70% . if compared with blunt trauma fetal injury is more likely in penetrating trauma .
fetal death after gunshot injury is 71% and stabbings 42%.4 muzumdar and his colleague described a bizarre case from canada where a baby had head injury when mother herself fired an air gun through her vagina at term . following a spontaneous precipitous vaginal delivery the baby had convulsion and was found to have intracranial hemorrhage with a metal pellet near the right lateral ventricle .
the newborn had a right temporal swelling and it was diagnosed as a subcutaneous hemangioma . but at 2 years of life , it was symptomatic and diagnosed as growing skull fracture with dural tear due to the prenatal injury
. patient needed neurosurgical procedure . though the injury in the baby and its management was simple in our case , it is presented here because of its fascinating nature and the interesting backdrop .
the authors certify that they have obtained all appropriate patient consent forms . in the form the patient(s )
has / have given his / her / their consent for his / her / their images and other clinical information to be reported in the journal .
the patients understand that their names and initials will not be published and due efforts will be made to conceal their identity , but anonymity can not be guaranteed .
the authors certify that they have obtained all appropriate patient consent forms . in the form the patient(s )
has / have given his / her / their consent for his / her / their images and other clinical information to be reported in the journal .
the patients understand that their names and initials will not be published and due efforts will be made to conceal their identity , but anonymity can not be guaranteed .
the authors certify that they have obtained all appropriate patient consent forms . in the form the patient(s )
has / have given his / her / their consent for his / her / their images and other clinical information to be reported in the journal .
the patients understand that their names and initials will not be published and due efforts will be made to conceal their identity , but anonymity can not be guaranteed .
 injury of a pregnant lady risks both mother and fetus 
 . various modes of injuries are possible . but arrow injury is not usually heard of in today 's world . 
 we have reported a male child delivered with a cut injury on the face . 
 it was caused by a penetrating arrow hitting his mother in her lower abdomen at term . 
 the injury of the baby was repaired successfully . 
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