J Korean Soc Traumatol.
2015 Dec;28(4):272-275. 10.0000/jti.2015.28.4.272.
Pelvic Bone Fracture with Preperitoneal Hemorrhage
- Affiliations
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- 1Department of Surgery, Eulji University Hospital, Daejeon, Korea. ssulyh@eulji.ac.kr
- 2Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Daejeon, Korea.
- KMID: 2224039
- DOI: http://doi.org/10.0000/jti.2015.28.4.272
Abstract
- Pelvic bone fracture with unstable vital signs is a life-threatening condition demanding proper diagnosis and immediate treatment. Unlike long bones, the pelvic bone is a three dimensional structure with complex holes and grooves for vessels and nerves. Because of this complexity, a pelvic bone fracture can lead to complicated and serious bleeding. We report a case of a fifty-year-old male suffering from a pelvic bone fracture due to a fall. An imaging study showed fractures of both the superior and the inferior ramus of the pubic bone, with contrast extravasation underneath them, resulting in a large preperitoneal hematoma. He was sent for angiography, which revealed a hemorrhage from a branch of the left obturator artery. Embolization was done with a glue and lipiodol mixture. The patient recovered without complication, and was discharged at four weeks after admission.
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