Figure 1b. Extensive injuries in a 17-year-old girl after a motor vehicle accident. During the emergency helicopter flight to the hospital, she revealed that she might be pregnant. A pregnancy test was positive, and she was found to have a 12-week-old fetus. An immediate workup in the emergency department was performed. (a) Cystogram shows intraperitoneal bladder rupture and pelvic fractures (arrows). (b) Computed tomographic (CT) scan of the head shows subarachnoid bleeding (arrowheads). (c) Tomogram shows fracture of the pedicle of C2 (arrow). (d) Angiogram shows bleeding from the superior gluteal artery (arrowhead), which required embolization. Immediate surgery included repair of a right hemidiaphragmatic hernia and the bladder laceration. Brain swelling led to brain herniation and maternal death with consequent fetal death 5 days after admission.