A case of median sacral artery avulsion injury by L4–5 lateral dislocation fracture

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...

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Detalles Bibliográficos
Autores principales: Nagasawa, Hiroki, Omori, Kazuhiko, Yanagawa, Youichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8102800/
https://www.ncbi.nlm.nih.gov/pubmed/33997228
http://dx.doi.org/10.1016/j.tcr.2021.100484
Descripción
Sumario: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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