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Arterial injury following a low energy pubic rami fracture

机译:低能耻骨拉美骨折后的动脉损伤

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Patients with simple pubic rami fractures can be divided into two main groups: young people subject to high-energy trauma and elderly people who sustain osteoporotic fractures after minor falls. Cases associated with lifethreatening arterial injury mostly relate to the high-energy group. We report the case of a 70-year-old woman in whom a low-energy fall caused a stable pubic rami fracture injury associated with angiographyproven multiple hemorrhage from branches of both the internal and external iliac arteries which necessitated embolization of the bleeding vessels. As far as we are aware, angiography-proven bleeding from branches of the internal and external iliac arteries in a low-energy, stable pubic rami fracture has not been reported before. This case emphasizes the need for admission and careful hemodynamic monitoring in such cases.
机译:简单的耻骨rami骨折患者可分为两大类:遭受高能量创伤的年轻人和轻度跌倒后仍患有骨质疏松性骨折的老年人。与威胁生命的动脉损伤有关的病例主要与高能量人群有关。我们报道了一个案例,其中一名70岁女性因低能量坠落导致与血管造影相关的稳定的耻骨rami骨折损伤,证实了from内和外动脉分支的多次出血,这需要使血管栓塞。据我们所知,在低能量,稳定的耻骨拉美骨折中,尚无血管造影证实的prov内外分支出血的报道。这种情况强调在这种情况下需要入院和仔细的血流动力学监测。

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