Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

Pelvic Bone Fracture with Preperitoneal Hemorrhage

전복막출혈이 동반된 골반골절

  • Kim, Joong Suck (Department of Surgery, Eulji University Hospital) ;
  • Sul, Young Hoon (Department of Surgery, Eulji University Hospital) ;
  • Go, Seung Je (Department of Surgery, Eulji University Hospital) ;
  • Ye, Jin Bong (Department of Surgery, Eulji University Hospital) ;
  • Park, Sang Soon (Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital) ;
  • Ku, Gwan Woo (Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital) ;
  • Kim, Yeong Cheol (Department of Surgery, Eulji University Hospital)
  • Received : 2015.10.30
  • Accepted : 2015.12.11
  • Published : 2015.12.31
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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.

Keywords

References

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