title: Gluteal Soft Tissue Necrosis After Transcatheter Angiographic Embolization for Pelvic Fracture: a Report of Two Cases.
abstract: In this paper, two cases of the gluteal soft tissue necrosis after pelvic fractures will be discussed. In the case of a 29-year-old man, a localized area of skin necrosis on the buttock appeared after transcatheter arterial embolization (TAE) of the right internal iliac artery (IIA). In the second case, a 52-year-old man, who was treated using TAE of the bilateral IIA's, developed an extensive area of necrosis in the gluteus maximus muscle with subsequent severe infection. In both cases, complete excision of the necrotic tissue and reconstructive flap surgery were imperative. Gluteal soft tissue necrosis is clinically important as one of the serious complications of TAE.
authors.affiliation: Department of Critical Care and Traumatology, National Hospital Organization Disaster Medical Center, Tokyo, Japan. hiromayu@mub.biglobe.ne.jp.|Department of Critical Care and Traumatology, National Hospital Organization Disaster Medical Center, 3256 Midori-cho, Tachikawa, Tokyo, 190-0014, Japan. hiromayu@mub.biglobe.ne.jp.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kato
authors.affiliation: Department of Critical Care and Traumatology, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
authors.forename: Yasuhiro
authors.initials: Y
authors.lastname: Otomo
authors.affiliation: Department of Critical Care and Traumatology, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
authors.forename: Masato
authors.initials: M
authors.lastname: Homma
authors.affiliation: Department of Critical Care and Traumatology, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
authors.forename: Junichi
authors.initials: J
authors.lastname: Inoue
authors.affiliation: Department of Critical Care and Traumatology, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
authors.forename: Eiju
authors.initials: E
authors.lastname: Hasegawa
authors.affiliation: Department of Critical Care and Traumatology, National Hospital Organization Disaster Medical Center, Tokyo, Japan.
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Henmi
authors.affiliation: Department of Orthopaedic Traumatology, Showa University, Fujigaoka Hospital, Yokohama, Japan.
authors.forename: Atsushi
authors.initials: A
authors.lastname: Kusaba
keywords: Gluteal soft tissue necrosis; Pelvic fracture; Transcatheter arterial embolization