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Severe pelvic fracture with profound hypotension: a case report and treatment algorithm
Chadwick J Knight1, Igor Wanko Mboumi1, Errington C Thompson1
1Department of Surgery, Joan Edwards School of Medicine, Marshall University, Huntington, WV 25701, USA.
Journal of Surgical Case Reports
|June 16, 2017
Summary
Pelvic fractures in blunt trauma patients can cause severe bleeding and hypotension. This case highlights the challenges in managing massive hemorrhage from complex pelvic fractures, proposing a new algorithm for critically ill patients.
Area of Science:
- Trauma Surgery
- Orthopedic Surgery
- Interventional Radiology
Background:
- Pelvic fractures occur in approximately 9% of blunt trauma cases.
- Fracture severity ranges from minor to life-threatening pelvic ring destruction.
- Massive bleeding and hypotension necessitate multidisciplinary trauma team involvement.
Observation:
- A patient presented with extremis due to massive hemorrhage from a complex pelvic fracture.
- Abdominal compartment syndrome developed secondary to the pelvic injury.
- Initial surgical attempts to control pelvic bleeding were unsuccessful.
Findings:
- Complex pelvic fractures pose significant management challenges.
- Massive pelvic hemorrhage can lead to life-threatening instability.
- A structured algorithm may aid in managing these critical cases.
Implications:
- The proposed algorithm may improve outcomes for patients with severe pelvic fractures.
- Early recognition and intervention are crucial for managing pelvic trauma.
- Multidisciplinary collaboration is essential for optimal patient care.
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