Controversies in the management of retroperitoneal hemorrhage associated with pelvic fractures.
Pelvic fractures present major therapeutic challenge requiring systematic diagnostic and management strategies. This article describes a 50-year-old female with a massive pelvic fracture after being crushed under the wheels of a bus. All aspects of her management are presented in detail. The current indications and role of exploratory laparotomy, internal and external fixation, and diagnostic and therapeutic angiography are discussed.
Baumgartner
F
F
Department of Surgery, Harbor-UCLA Medical Center, Torrance 90509-9823.
White
G H
GH
White
R A
RA
Bongard
F
F
Smith
C
C
Klein
S R
SR
D017809:Fatal Outcome; D005260:Female; D050723:Fractures, Bone / Q000150:complications / Q000601:surgery*; D006406:Hematoma / Q000209:etiology / Q000601:surgery*; D006465:Hemoperitoneum / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D009104:Multiple Trauma / Q000209:etiology / Q000601:surgery*; D010384:Pelvic Bones / Q000293:injuries*; D012187:Retroperitoneal Space