Profound hypotension in blunt trauma associated with superior gluteal artery rupture without pelvic fracture.
Superior gluteal artery injury is a rare but well-known complication of abdominal trauma, usually in association with pelvic fractures. Embolization has become the most effective treatment for pelvic hemorrhage with regard to superior gluteal artery injury, due to difficult surgical access. We report an unusual case of a superior gluteal artery rupture without pelvic fracture. The patient presented with profound hypotension after blunt trauma. Angiography revealed an injured superior gluteal artery, which was successfully embolized.
Belley
G
G
Department of Diagnostic Radiology, Montreal General Hospital, McGill University, Quebec, Canada. gbelley@radiology.mgh.mcgill.ca
Gallix
B P
BP
Derossis
A M
AM
Mulder
D S
DS
Brown
R A
RA
D000328:Adult; D015901:Angiography, Digital Subtraction; D001808:Blood Vessels / Q000293:injuries*; D002081:Buttocks; D004621:Embolization, Therapeutic; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D008297:Male; D012421:Rupture; D014949:Wounds, Nonpenetrating / Q000150:complications*