Document Type : Case Report
Orthopaedic Department,Taleghani Hospital,Shahid Beheshti University of Medical Sciences
Assistant Professor of Vascular Surgery,Department of Vascular and Endovascular Surgery,Ayatollah Taleghani Hospital,Shahid Beheshti University of Medical Sciences,Tehran,Iran
Department of Orthopedic Surgery, Imam Hossein Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran.
After head trauma, pelvic fractures are the most common cause of death in patients with multiple trauma. The primary cause of death in patients with a pelvic fracture is uncontrollable bleeding, and in cases of delayed intervention, hemorrhagic shock is the principal cause of death. Bleeding from the external iliac artery following Pelvic Ring and acetabulum fractur is an uncommon orthopedic emergency.
A 48-year-old man who suffered pelvic trauma was referred to the hospital, and an Antero-Posterior Compression type- II (APC II) of the Pelvic Ring and Acetabulum fracture was diagnosed. The patient developed thrombosis of the external iliac artery 48 hours after admission. CT angiography was performed for further assessment. Then, the anterior column of the acetabulum, disruption of the symphysis underwent open reduction. Internal fixation with a 3.5 reconstruction plate via a modified Stoppa approach was done. Sacroiliac disruption on the right side was repaired via percutaneous sacroiliac screw fixation. In the same session, the vascular repair was done via interpositional PTFE graft. After surgery, the patient's general condition was satisfactory, and he was discharged without complications.