ArticleJournal of clinical orthopaedics and trauma2013
Massive haemorrhage from the internal iliac artery following a low energy superior pubic ramus fracture in a 73-year-old man.
Article in Journal of clinical orthopaedics and trauma, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
3 citing papers in PubMed, 10 citations in OpenAlex.
- Hemorrhage in Pelvic Ring Fractures After Low-Energy Trauma: A Systematic Review.Journal of clinical medicine · 2024Review
- Bleeding Risk Associated With Hemodynamically Stable Low-Energy Pelvic Fracture.Geriatric orthopaedic surgery & rehabilitation · 2020Article
- Massive haemorrhage following minimally displaced pubic ramus fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2014Article
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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
We report a case of a 73-year-old man with a background of aspirin use who fell and sustained a minimally displaced right superior pubic ramus fracture. He subsequently developed hypotension that necessitated fluid resuscitation, associated with a significant drop in blood haemoglobin levels that required a packed red blood cell transfusion. CT scans revealed the presence of two pelvic haematomas, with ongoing bleeding. An angiogram demonstrated bleeding from the superior vesical branch of the anterior division of the right internal iliac artery, which was successfully embolised with gelfoam slurry. The patient recovered uneventfully thereafter. This is a unique case involving an unexpected injury to the superior vesical branch of the anterior division of the internal iliac artery following low energy trauma to an elderly man. We recommend that patients who develop hypotension following a seemingly-benign isolated pubic ramus fracture be evaluated for concomitant arterial injuries with the relevant CT imaging and angiography.
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Registered trials
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