Multiple pelvic fractures through the left sacral mass, left ischium/acetabulum, left superior pubic ramus, right inferior and superior pubic ramus. Widening of the left sacro-iliac joint. Pubic symphysis diastasis.
Associated large haematoma involving adjacent musculature and extra-peritoneal pelvis. Ill defined linear regions of increased density within the pelvic haematoma may represent sites of active bleeding. Haematoma also tracks superiorly along the paracolic gutters and over the psoas muscles.
No solid organ traumatic injury.
Case courtesy Dr Bruno Di Muzio and Dr Di Pascoe, The Royal Melbourne Hospital.