Haemodynamic instability secondary to minimally displaced pubic rami fractures: a report of two cases.
We report 2 patients with haemodynamic instability secondary to minimally displaced pubic rami fractures following a fall. Both complained of pain and swelling in the abdomen and groin, and had abdominal distension and bruising in the abdomen, groin, and perineum. All these may be early signs of severe vascular injury and should be treated promptly. Both patients were treated with embolisation of the injured vessels using emergency angiography.
Chiu
Y
Y
Department of Orthopaedics and Traumatology, Pamela Youde Nethersole Eastern Hospital, Hong Kong. yichiuyi@gmail.com
Wong
T C
TC
Yeung
S H
SH
D000368:Aged; D004621:Embolization, Therapeutic; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D006406:Hematoma / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D006801:Humans; D007022:Hypotension / Q000209:etiology*; D007083:Iliac Artery / Q000293:injuries*; D008875:Middle Aged; D011630:Pubic Bone / Q000293:injuries*