title: [Vascular complications after pelvic rami fracture].
abstract: The case is presented of a 78 year-old patient who suffered a right ileo- and ischiopubic rami fracture after a casual fall. A few hours later, she presented with sudden abdominal pain and hypotension. Imaging test showed extraperitoneal hemorrhage with active bleeding and hemodynamic compromise. The progressive worsening, with anemia and hemodynamic instability, required her being sent to the reference hospital for selective embolization of the bleeding point. After embolization, the patient́s situation stabilized, and she was then able to sit down one week later. The fracture consolidated 3 months later. Although low-energy pelvic fractures by lateral compression do not usually present with complications, sometimes they require a strict control due to the potential risk of vascular injuries.
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital San Agustín, Avilés, España. Electronic address: lombardiaferje@gmail.com.
authors.forename: J
authors.initials: J
authors.lastname: Fernández-Lombardía
authors.affiliation: Servicio de Anestesiología y Reanimación, Hospital Universitario Central de Asturias (HUCA), Oviedo, España; Universidad de Oviedo, España.
authors.forename: A
authors.initials: A
authors.lastname: Paz-Aparicio
authors.affiliation: Servicio de Cirugía Ortopédica y Traumatología, Hospital San Agustín, Avilés, España; Universidad de Oviedo, España.
authors.forename: D
authors.initials: D
authors.lastname: Hernández-Vaquero
mesh_terms: D000368:Aged; D019074:Epigastric Arteries / Q000293:injuries*; D005260:Female; D050723:Fractures, Bone / Q000150:complications*; D006801:Humans; D010384:Pelvic Bones / Q000293:injuries*; D012771:Shock, Hemorrhagic / Q000175:diagnosis / Q000209:etiology*; D057772:Vascular System Injuries / Q000175:diagnosis / Q000209:etiology*
keywords: Embolización; Embolization; Fractura pélvica; Hypovolemic shock; Pelvic fracture; Shock hipovolémico