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HOME > J Trauma Inj > Volume 28(4); 2015 > Article
Pelvic Bone Fracture with Preperitoneal Hemorrhage
Joong Suck Kim, Young Hoon Sul, Seung Je Go, Jin Bong Ye, Sang Soon Park, Gwan Woo Ku, Yeong Cheol Kim
Journal of Trauma and Injury 2015;28(4):272-275
Published online: December 31, 2015
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1Department of Surgery, Eulji University Hospital, Daejeon, Korea.
2Department of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Daejeon, Korea.
Received: 30 October 2015   • Revised: 9 December 2015   • Accepted: 11 December 2015

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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