Pelvic trauma with embolization

Case contributed by RMH Core Conditions , 31 Mar 2014
Diagnosis certain
Changed by Henry Knipe, 10 Jul 2017

Updates to Study Attributes

Findings was changed:

Left lateral sacral artery transection with significant active bleeding. This was successfully coil embolised using: 6 x Straight 5mm Pushable -18; 2 x Hilal Straight 1cm. Possible patchy small foci of internal iliac branches extravasation: Successfully Treatedtreated with gelfoam slurry until complete stagnancy.

Two renal arteries on the left. Left inferior renal artery proximal dissection just beyond origin: Treated with a 3 x 24mm Liberete Coronary stent

Updates to Case Attributes

Body was added:

Pelvic haemorrhage without associated intraperitoneal haemorrhage can be treated with angioemoblisation with bleeding controlled in ~90% (85-97%) of cases.

  • +<p>Pelvic haemorrhage without associated intraperitoneal haemorrhage can be treated with angioemoblisation with bleeding controlled in ~90% (85-97%) of cases.</p>

References changed:

  • Davis JW, Moore FA, McIntyre RC, Cocanour CS, Moore EE, West MA. Western trauma association critical decisions in trauma: management of pelvic fracture with hemodynamic instability. The Journal of trauma. 65 (5): 1012-5. <a href="https://doi.org/10.1097/TA.0b013e318189a836">doi:10.1097/TA.0b013e318189a836</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/19001967">Pubmed</a> <span class="ref_v4"></span>

Tags changed:

  • core condition

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