A case of median sacral artery avulsion injury by L4-5 lateral dislocation fracture
Hiroki Nagasawa1, Kazuhiko Omori1, Youichi Yanagawa1
1Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.
Introduction:
The median sacral artery injury is a rare entity, especially in trauma. And the injuries are always with pelvic fractures. We describe a case of the median sacral injury which was induced by blunt trauma without pelvic fractures.
Case Presentation:
A 26-year-old male who suffered L4-5 fracture dislocation and some hemorrhage in pelvic cavity following a motorcycle accident. He had a median sacral artery injury, and we tried to the trans-catheter arterial embolization, however it could not be success. The embolization was performed using of gelatin sponges in bilateral internal iliac artery and left 4th lumber artery. After his admission, a demand of transfusions lasted for 7 days.
Conclusion:
We successfully treated a case of median sacral avulsion injury by choosing conservative treatment.
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