Treatment of Ongoing Bleeding after a Damage Control Laparotomy for a Pelvic Bone Fracture: Arterial Embolization: A Case Report

Kim,  Ki Hoon; Kyung,  Kyu Hyouk; Kim,  Jin Su; Park,  Sung Jin; Nam,  So Hyun; Kim,  Woon Won; Kim,  Yong Han

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Case Report

Journal of the Korean Society of Traumatology 2011;24(2):159-163.

Treatment of Ongoing Bleeding after a Damage Control Laparotomy for a Pelvic Bone Fracture: Arterial Embolization: A Case Report

Ki Hoon Kim, Kyu Hyouk Kyung, Jin Su Kim, Sung Jin Park, So Hyun Nam, Woon Won Kim, Yong Han Kim

¹Department of Surgery, University of Inje College of Medicine, Haeundae Paik Hospital, Busan, Korea. medhun@hanmail.net
²Department of Anesthesiology, University of Inje College of Medicine, Haeundae Paik Hospital, Busan, Korea.

골반골 골절에서 손상 제어 개복술 후 지속적인 출혈의 치료:
동맥 색전술 -증례보고-

김기훈∙경규혁∙김진수∙박성진∙남소현∙김운원∙김용한¹

인제대학교 의과대학 해운대 백병원 외과, 마취통증의학과¹

Received: 23 June 2011 • Revised: 14 July 2011 • Accepted: 4 October 2011

Abstract

Massive bleeding due to traumatic pelvic bone fracture is a leading cause of death. Thus, several methods to control bleeding have been attempted, but none of these has yet been clearly established. After an automobile accident, a 34-year-old motorist was admitted to the Emergency Department for right hip,leg and abdominal pain. Because the patient's pressure remained consistently low and pelvic bone fracture and abdominal bleeding were found on radiologic examination, an explorative laparotomy was performed. After pelvic packing and bleeding control, bleeding still continued, so Angiography was performed, and arterial embolization for bleeding was performed.

Key Words: Laparotomy; Pelvic bones; Angiography; Embolization

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