title: SPONTANEOUS RESOLUTION OF PSEUDOANEURYSM OF AN ILIAC ARTERY BRANCH IN A MULTIPLE TRAUMA PATIENT WITH PELVIC FRACTURE: CLINICAL CASE.
abstract: In patients who have been the victims of high-energy trauma, severe pelvic injury should always be suspected. Most of these fractures are stable and respond well to conservative treatment. Pelvic fractures constitute 3% of all skeletal fractures and are associated with high-energy trauma. They are potentially serious injuries with significant mortality and large numbers of associated lesions. There are fundamentally three sources of bleeding in pelvic fractures: arterial, venous and through the bone ends of the fracture. Arterial bleeding is more associated with hemodynamic instability. In such cases, both early external fixation of the pelvic fracture and angiography with selective embolization of the bleeding vessels are effective methods for achieving hemostasis. Aneurysms of iliac artery branches are rare and are mostly pseudoaneurysm relating to the traumatic event. The natural history of pseudoaneurysms is unknown because of their rarity, but if they rupture, the mortality rate is high. We report a case of spontaneous thrombosis of a pseudoaneurysm of a branch of the right iliac artery.
authors.affiliation: Complementary Orthopedics and Traumatology Clinician at Local Healthcare Unit, Alto Minho, SA, Portugal.
authors.forename: Cristina Maria Varino
authors.initials: CM
authors.lastname: Sousa
authors.affiliation: Complementary Orthopedics and Traumatology Clinician at Local Healthcare Unit, Alto Minho, SA, Portugal.
authors.forename: Luís Filipe Pires
authors.initials: LF
authors.lastname: Silva
authors.affiliation: Complementary Orthopedics and Traumatology Clinician at Local Healthcare Unit, Alto Minho, SA, Portugal.
authors.forename: Maria Elisa
authors.initials: ME
authors.lastname: Rodrigues
authors.affiliation: Complementary Orthopedics and Traumatology Clinician at Local Healthcare Unit, Alto Minho, SA, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Félix
authors.affiliation: Complementary Orthopedics and Traumatology Clinician at Local Healthcare Unit, Alto Minho, SA, Portugal.
authors.forename: Bruno
authors.initials: B
authors.lastname: Alpoim
authors.affiliation: Complementary Orthopedics and Traumatology Clinician at Local Healthcare Unit, Alto Minho, SA, Portugal.
authors.forename: Pedro
authors.initials: P
authors.lastname: Marques
authors.affiliation: Complementary Neurosurgery Clinician at Hospital de São João, EPE.
authors.forename: Joana Alexandra Gonçalves
authors.initials: JA
authors.lastname: Oliveira
authors.affiliation: Specialist Orthopedics and Traumatology Clinician at Local Healthcare Unit, Alto Minho, SA, Portugal.
authors.forename: Carlos
authors.initials: C
authors.lastname: Alves
authors.affiliation: Specialist Orthopedics and Traumatology Clinician at Local Healthcare Unit, Alto Minho, SA, Portugal.
authors.forename: Maieiro
authors.initials: M
authors.lastname: Costa
authors.affiliation: Specialist Physician and Director of Orthopedics and Traumatology Service, Local Healthcare Unit, Alto Minho, SA, Portugal.
authors.forename: António
authors.initials: A
authors.lastname: Rodrigues
keywords: False Aneurysm; Hip Fractures; Iliac Artery