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KMID : 0361620190540060557
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Journal of the Korean Orthopaedic Association
2019 Volume.54 No. 6 p.557 ~ p.561
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Massive Hemorrhage Caused by a Non-Displaced Pubic Ramus Fracture from Low-Energy Trauma
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Na Hwa-Yeop
Shin Keun-Young
Choe Sae-Hun
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Abstract
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Most low-energy pelvic ring fractures in elderly patients are treated conservatively so that an initial evaluation for complications such as vascular injury is usually overlooked. An 81-year-old female, who was taking regular aspirin, visited the emergency room and was diagnosed with a simple non-displaced pubic ramus fracture from a low-energy fall from standing, which was complicated by massive hemorrhage from the overlooked injury of the corona mortis. Elderly patients with pelvic ring fractures can have a delayed presentation of vascular injuries, regardless of the degree of displacement of the fractures, which highlights the need for a careful physical examination and close monitoring.
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KEYWORD
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pelvic ring fracture, ramus fracture, corona mortis, massive hemorrhage, aspirin
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