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Semin intervent Radiol 2012; 29(03): 187-191
DOI: 10.1055/s-0032-1326927
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Multidisciplinary Management of Blunt Pelvic Trauma

Pavan Khanna
1   Department of Radiology
,
Ho Phan
2   Department of Surgery, UC Davis Medical Center, Sacramento, California
,
Andrew Hal Hardy
1   Department of Radiology
,
Timothy Nolan
1   Department of Radiology
,
Paul Dong
1   Department of Radiology
› Author Affiliations
Further Information

Publication History

Publication Date:
16 October 2012 (online)

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Abstract

Pelvic fractures account for ∼3% of all fractures and usually occur in patients with polytrauma. Pelvic fractures usually indicate high energy transfer and a significant mechanism of injury, and they can involve massive hemorrhage. For this reason, mortality from pelvic trauma is high, ranging from 40% to 60% among patients in shock, and up to 90% in patients considered to be in extremis. Multidisciplinary approaches in the treatment of patients with pelvic fractures have resulted in improved outcomes for these complex and challenging injuries. In this article, we describe a case of a pediatric patient who suffered severe pelvic fracture with massive hemorrhage, requiring a multidisciplinary approach for control of hemorrhage and definitive repair of injuries.

Keywords

hemorrhage - pelvic fracture - angiography - embolization
 

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