Hemorrhage and pelvic fractures.
Hemorrhage is the major cause of death in pelvic fractures. In closed pelvic fractures the bleeding is usually self-limited. In the small number of patients with continuing hemorrhage there may be disruption of a major iliac vessel, which will require immediate exploration and repair. In a few patients continuing hemorrhage is due to disruption of a branch of the hypogastric artery, which may be identified by angiography and controlled by embolization. A management protocol is suggested for these patients.
Downs
A R
AR
Department of Surgery, Faculty of Medicine, University of Manitoba, Winnipeg.
Dhalla
S
S
D000792:Angiography; D004621:Embolization, Therapeutic; D050723:Fractures, Bone / Q000150:complications*; D006470:Hemorrhage / Q000150:complications* / Q000601:surgery / Q000628:therapy; D006801:Humans; D010384:Pelvic Bones / Q000293:injuries*; D014656:Vascular Surgical Procedures