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Hemipelvectomy after severe pelvic injury in Factor VII deficiency toddler
Shtarker Haim1, Yocheved Laufer2, Kogan Leonid3
1Pediatric Orthopaedics, Western Galilee Hospital, Nahariya, Israel; Faculty of Medicine in Galilee, Bar Ilan University, Safed, Israel.
Insights
This case report details the successful management of a 16-month-old child who sustained a traumatic hemipelvectomy despite a severe bleeding disorder. It highlights unique considerations for pediatric trauma management.
Area of Science:
- Trauma Surgery
- Pediatric Critical Care
- Hematology
Background:
- Traumatic hemipelvectomy is a rare and often fatal injury, typically seen in adults.
- Survival often requires significant physiological reserves, making pediatric cases exceptionally rare.
- Existing literature lacks comprehensive data on managing pediatric traumatic hemipelvectomy, especially in patients with pre-existing conditions.
Abstract:
Traumatic hemipelvectomy is a lethal catastrophic injury. The reported average age of individuals surviving this trauma is 21 years old, suggesting the necessity of good physiological reserves to survive this type of injury. Dealing with this injury in children may call for special requirements throughout all the stages of diagnosis, treatment and rehabilitation. Experience in the resuscitation and subsequent treatment of individuals suffering from this traumatic condition in the paediatric population is even scarce. There are only several reported cases involving children and none of the paediatric cases suffered from comorbidities prior to their traumatic injury. The present report describes the successful management of a 16-month-old child with a medical history of a rare bleeding disorder a severe coagulation Factor VII deficiency who underwent right-sided traumatic hemipelvectomy.
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