title: Massive haemorrhage after a low-energy pubic ramus fracture in a 71-year-old woman.
abstract: We describe a case of a patient receiving warfarin who presented with a superior pubic ramus fracture after a trivial fall at home. She developed a massive retroperitoneal haematoma as a result of vascular injury and subsequently died. This case emphasises the importance of admitting and observing patients with pubic rami fractures who are receiving antithrombotic treatment, and haemorrhage should be considered if they become haemodynamically compromised.
authors.affiliation: Department of Orthopaedic Surgery, Western Infirmary, Glasgow, UK.
authors.forename: D J M
authors.initials: DJ
authors.lastname: Macdonald
authors.forename: C J
authors.initials: CJ
authors.lastname: Tollan
authors.forename: I
authors.initials: I
authors.lastname: Robertson
authors.forename: B
authors.initials: B
authors.lastname: Rana
authors.forename: B S
authors.initials: BS
authors.lastname: Rana
mesh_terms: D000058:Accidental Falls; D000368:Aged; D000925:Anticoagulants / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D050723:Fractures, Bone / Q000209:etiology*; D006406:Hematoma / Q000139:chemically induced*; D006801:Humans; D011630:Pubic Bone / Q000293:injuries*; D012187:Retroperitoneal Space; D014859:Warfarin / Q000009:adverse effects*
chemical_list: D000925:Anticoagulants; D014859:Warfarin