Background: Crush injury is the result of prolonged pressure to the li
mbs when individuals are trapped under the debris of earthquakes, bomb
ings, and other disasters. Muscle integrity is compromised, and the lo
cal and systemic manifestations, including rhabdomyolysis, hyperkalemi
a, renal failure,and disseminated intravascular coagulation may be fat
al. Case: A 32-year-old woman, gravida 2, para 1, was trapped under fa
llen masonry at 6 weeks' gestation for approximately 6 hours. On initi
al examination, she showed early signs of hypovolemic shock and crush
injury, including hyperkalemia. Prompt management with fluid therapy a
nd careful monitoring led to a rapid recovery. Antenatal follow-up was
routine and concluded in spontaneous delivery of a healthy infant. Co
nclusion: The unique physiology of the pregnant woman may affect the o
utcome of crush injury, and it presents a particular challenge to the
trauma team. The obstetrician should be aware of its dangers and shoul
d be an active participant in the prompt management of pregnant victim
s of crush injury to ensure a satisfactory outcome for both mother and
fetus.