title: Controversies in the management of retroperitoneal hemorrhage associated with pelvic fractures.
abstract: 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.
authors.affiliation: Department of Surgery, Harbor-UCLA Medical Center, Torrance 90509-9823.
authors.forename: F
authors.initials: F
authors.lastname: Baumgartner
authors.forename: G H
authors.initials: GH
authors.lastname: White
authors.forename: R A
authors.initials: RA
authors.lastname: White
authors.forename: F
authors.initials: F
authors.lastname: Bongard
authors.forename: C
authors.initials: C
authors.lastname: Smith
authors.forename: S R
authors.initials: SR
authors.lastname: Klein
mesh_terms: 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