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Massive Gluteal Muscle Necrosis after Iliac Arterial Embolization in Pelvic Trauma: A Literature Review and Illustrative Case Report

INTRODUCTION: Traumatic pelvic injuries causing retroperitoneal bleeding can be managed with angiographic embolization. This procedure carries a small but potentially devastating risk of gluteal muscle necrosis. CASE REPORT: An 18-year-old trauma patient suffered from massive gluteal muscle necrosis...

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Detalles Bibliográficos
Autores principales: O’Brien, Michelle C, Schell, Benjamin A, Lands, Harrison, Spanyer, Jonathon M, Yakkanti, Madhusudhan R
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Indian Orthopaedic Research Group 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6298720/
https://www.ncbi.nlm.nih.gov/pubmed/30584510
http://dx.doi.org/10.13107/jocr.2250-0685.1092
Descripción
Sumario:INTRODUCTION: Traumatic pelvic injuries causing retroperitoneal bleeding can be managed with angiographic embolization. This procedure carries a small but potentially devastating risk of gluteal muscle necrosis. CASE REPORT: An 18-year-old trauma patient suffered from massive gluteal muscle necrosis following angiographic embolization for hemorrhage from pelvic fracture was reported. CONCLUSION: To limit morbidity and mortality, the orthopedic surgeon should have a high suspicion for gluteal muscle necrosis to allow for early diagnosis and then treatment with decompression and debridement.