title: [Severe haemorrhage secondary to an osteoporotic pelvic fracture: presentation of a case].
abstract: Low-energy osteoporotic pelvic fractures in the elderly are a very common problem. They are usually stable fractures, non-life threatening and only require conservative treatment. The pelvic bone structure is closely related to important vascular structures. The Corona Mortis, located in the retropubis, has an important anastomotic value as it serves as communication between the internal and external iliac vessels. The case is presented of an 87 year-old woman, who, after a casual fall, was diagnosed with an osteoporotic fracture of the left pubic rami associated to a lesion of the Corona Mortis, which led to a severe picture of haemodynamic instability. After angiography with supra-selective embolisation of the lesioned vessel, and the transfusion of several haemoderivatives, the patient progressed satisfactorily, and was discharged after a few days.
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España. Electronic address: jess_palacio@hotmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Palacio
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario Lozano Blesa, Zaragoza, España.
authors.forename: J
authors.initials: J
authors.lastname: Albareda
mesh_terms: D000369:Aged, 80 and over; D005260:Female; D006470:Hemorrhage / Q000209:etiology*; D006801:Humans; D058866:Osteoporotic Fractures / Q000150:complications*; D010384:Pelvic Bones / Q000293:injuries*; D012720:Severity of Illness Index
keywords: Anastomosis arteriovenosa; Angiografía; Angiography; Arteriovenous anastomosis; Embolización terapéutica; Fractura osteoporótica; Haemorrhage; Hemorragia; Osteoporotic fracture; Pelvis; Therapeutic embolisation