ArticleCase reports in emergency medicine2014
Delayed bleeding and pelvic haematoma after low-energy osteoporotic pubic rami fracture in a warfarin patient: an unusual cause of abdominal pain.
Article in Case reports in emergency medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed, 14 citations in OpenAlex.
- Life-threatening vascular injury in an elderly patient with isolated pubic ramus fracture: A case report.World journal of clinical cases · 2025Article
- Transfusion Risk Factors in Low-Energy Pelvic Fractures: A Retrospective Cohort Study.Geriatric orthopaedic surgery & rehabilitation · 2025Article
- Hemorrhage in Pelvic Ring Fractures After Low-Energy Trauma: A Systematic Review.Journal of clinical medicine · 2024Review
- Life-Threatening Bleeding Following a Stable Fracture of the Superior Pubic Ramus: A Case Report.Cureus · 2024Article
- Delayed multiple arterial haemorrhage after pelvic fracture: report of a rare case.Archives of medical science : AMS · 2024Article
- Bleeding Risk Associated With Hemodynamically Stable Low-Energy Pelvic Fracture.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- Pelvic ring fractures in the elderly.EFORT open reviews · 2019Review
- A rare consequence of very common osteoporotic pubic rami fracture in a patient with myeloproliferative disease.BMJ case reports · 2017Article
- Predictors of early versus late mortality in pelvic trauma patients.Scandinavian journal of trauma, resuscitation and emergency medicine · 2016Article
- Can Nondisplacement Osteoporotic Pubic Rami Fracture Be Life-Threatening Injuries? A Case Report, Overview, and Algorithm Protocol for Management.Journal of investigative medicine high impact case reportsArticle
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction. Acute abdominal pain may be the presenting symptom in a wide range of diseases in the elderly. Acute abdominal pain related to a delayed bleeding and pelvic haematoma after a low-energy pubic rami fracture is rare and can have important consequences; to the best of our knowledge, only one case has been previously described. Case Report. We present an unusual case of an 83-year-old woman taking warfarin for atrial fibrillation, admitted to the Emergency Department (ED) with acute abdominal pain and progressive anemia related to a delayed bleeding and pelvic haematoma 72 hours after a low-energy osteoporotic pubic rami fracture. Warfarin was withheld, anticoagulation was reversed by using fresh frozen plasma and vitamin K, and concentrated red blood cells were given. Haemoglobin level gradually returned to normal with a progressive resorption of the haematoma. Conclusion. Delayed bleeding and pelvic haematoma after osteoporotic pubic rami fracture should be considered in the differential diagnosis of acute abdominal pain in the elderly. This case indicates the need for hospital admission, careful haemodynamic monitoring, and early identification of bleeding in patients with "benign" osteoporotic pubic rami fracture, especially those receiving anticoagulants, to provide an adequate management and prevent severe complications.
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