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KMID : 0360720150280040272
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Journal of the Korean Society Traumatology
2015 Volume.28 No. 4 p.272 ~ p.275
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Joong Suck Kim, Young Hoon Sul, Seung Je Go, Jin Bong Ye, Sang Soon Park1, Gwan Woo Ku1, and Yeong Cheol Kim
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Kim Joong-Suck
Sul Young-Hoon
Go Seung-Je
Ye Jin-Bong
Park Sang-Soon
Ku Gwan-Woo
Kim Yeong-Cheol
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Abstract
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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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KEYWORD
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Pelvic bone fracture, Preperitoneal hemorrhage, Embolization
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