[Inferior epigastric artery. An atypical source of bleeding in pelvic fracture].
The most common mechanism of pelvic fractures after blunt trauma is lateral compression of the pelvis. Most of these fractures are of slight severity but it is possible, that a life-threatening hemorrhage can appear. The inferior epigastric artery is an atypical bleeding site but it has to be considered in the search of the origin of the hemorrhage. Diagnostic tools are ultrasound, computed tomography and angiography. After external fixation of the pelvis and persistent haemodynamic active bleeding is the percutaneous transcatheter embolization (PTE) in our opinion the treatment of choice. The introduced case is confirm with this statement.
Bölter
S
S
Chirurgische Klinik, Kantonspital Aarau.
Haueisen
H
H
Renner
N
N
Roeren
T
T
D000368:Aged; D015901:Angiography, Digital Subtraction; D004621:Embolization, Therapeutic; D019074:Epigastric Arteries / Q000000981:diagnostic imaging / Q000293:injuries*; D005260:Female; D050723:Fractures, Bone / Q000000981:diagnostic imaging* / Q000628:therapy; D006465:Hemoperitoneum / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D010384:Pelvic Bones / Q000293:injuries*; D014057:Tomography, X-Ray Computed
A. epigastrica inferior. Atypische Blutungsquelle bei Beckenfraktur.