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Hemorrhage after low-energy pelvic trauma
Dietmar Krappinger1, Michael Zegg, Christian Jeske
1Department of TraumaSurgery and Sports Medicine, Medical University Innsbruck, Anichstraße 35, Innsbruck, Austria. dietmar@krappinger.eu
The Journal of Trauma and Acute Care Surgery
|March 24, 2012
Summary
Severe pelvic hemorrhage from low-energy trauma is more common than previously thought, especially in geriatric patients. Early diagnosis with contrast-enhanced CT scans and arterial embolization are key to successful management.
Area of Science:
- Trauma Surgery
- Interventional Radiology
- Geriatric Medicine
Background:
- Severe pelvic hemorrhage after low-energy trauma is often underreported.
- This case series investigates its incidence and management.
- Focuses on a series of 11 patients requiring arterial embolization.
Purpose of the Study:
- To present a case series of severe pelvic hemorrhage after low-energy trauma.
- To discuss management considerations for these patients.
Main Methods:
- Identified 11 patients with pelvic hemorrhage and need for arterial embolization after low-energy trauma.
- Used contrast-enhanced computed tomography (CT) to detect active arterial bleeding.
- Performed immediate arterial embolization upon diagnosis.
Main Results:
- All patients sustained injuries from simple falls.
- Contrast-enhanced CT scans revealed active arterial bleeding in all cases.
- Arterial embolization was successful in achieving hemostasis in all patients.
Conclusions:
- Geriatric patients are susceptible to arterial hemorrhage after low-energy pelvic trauma.
- Inpatient observation with regular hemoglobin monitoring is crucial for early diagnosis.
- Contrast-enhanced CT is the preferred imaging modality, and arterial embolization is highly effective.
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