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A fatal retroperitoneal bleeding from iliolumbar artery following open reduction and internal fixation of an unstable pelvic ring injury: A case report
Retroperitoneal bleedings are the result of injury to parenchymal tissue or vascular structures within retroperitoneal cavity. This may arise spontaneously, as a result of trauma or iatrogenically. Patients usually do not manifest clinically apparent signs and symptoms until a substantial amount of...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9935979/ https://www.ncbi.nlm.nih.gov/pubmed/36800615 http://dx.doi.org/10.1097/MD.0000000000032798 |
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author | Song, Suk-Kyoon Park, Jinkyu Lee, Sungho |
author_facet | Song, Suk-Kyoon Park, Jinkyu Lee, Sungho |
author_sort | Song, Suk-Kyoon |
collection | PubMed |
description | Retroperitoneal bleedings are the result of injury to parenchymal tissue or vascular structures within retroperitoneal cavity. This may arise spontaneously, as a result of trauma or iatrogenically. Patients usually do not manifest clinically apparent signs and symptoms until a substantial amount of blood loss has occurred. Therefore, it is associated with high morbidity and mortality. Herein we present and discuss a case of fatal iatrogenic retroperitoneal bleeding following open reduction and internal fixation of an unstable pelvic ring injury. PATIENT CONCERNS: A 66-year-old female patient presented to the Level I regional trauma center with severe pelvic pain after a pedestrian collision by a car. DIAGNOSES: In initial radiography and computed tomography, she was diagnosed with unstable pelvic ring injury. INTERVENTIONS: Definitive surgery for open reduction and internal fixation through the anterior approach to the sacroiliac joint and anterior intrapelvic approach was performed on the 8th day after the injury. OUTCOMES: Patient died 3 days after the surgery due to a massive retroperitoneal bleeding from iliolumbar artery. LESSONS: Insidious retroperitoneal bleeding from the small vessel may lead to fatal massive retroperitoneal hematoma. Therefore, active retroperitoneal bleeding should be suspected in cases of unexplained unstable hemodynamic status following orthopedic pelvic and acetabular surgery. |
format | Online Article Text |
id | pubmed-9935979 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-99359792023-02-18 A fatal retroperitoneal bleeding from iliolumbar artery following open reduction and internal fixation of an unstable pelvic ring injury: A case report Song, Suk-Kyoon Park, Jinkyu Lee, Sungho Medicine (Baltimore) 7100 Retroperitoneal bleedings are the result of injury to parenchymal tissue or vascular structures within retroperitoneal cavity. This may arise spontaneously, as a result of trauma or iatrogenically. Patients usually do not manifest clinically apparent signs and symptoms until a substantial amount of blood loss has occurred. Therefore, it is associated with high morbidity and mortality. Herein we present and discuss a case of fatal iatrogenic retroperitoneal bleeding following open reduction and internal fixation of an unstable pelvic ring injury. PATIENT CONCERNS: A 66-year-old female patient presented to the Level I regional trauma center with severe pelvic pain after a pedestrian collision by a car. DIAGNOSES: In initial radiography and computed tomography, she was diagnosed with unstable pelvic ring injury. INTERVENTIONS: Definitive surgery for open reduction and internal fixation through the anterior approach to the sacroiliac joint and anterior intrapelvic approach was performed on the 8th day after the injury. OUTCOMES: Patient died 3 days after the surgery due to a massive retroperitoneal bleeding from iliolumbar artery. LESSONS: Insidious retroperitoneal bleeding from the small vessel may lead to fatal massive retroperitoneal hematoma. Therefore, active retroperitoneal bleeding should be suspected in cases of unexplained unstable hemodynamic status following orthopedic pelvic and acetabular surgery. Lippincott Williams & Wilkins 2023-02-17 /pmc/articles/PMC9935979/ /pubmed/36800615 http://dx.doi.org/10.1097/MD.0000000000032798 Text en Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY) (https://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | 7100 Song, Suk-Kyoon Park, Jinkyu Lee, Sungho A fatal retroperitoneal bleeding from iliolumbar artery following open reduction and internal fixation of an unstable pelvic ring injury: A case report |
title | A fatal retroperitoneal bleeding from iliolumbar artery following open reduction and internal fixation of an unstable pelvic ring injury: A case report |
title_full | A fatal retroperitoneal bleeding from iliolumbar artery following open reduction and internal fixation of an unstable pelvic ring injury: A case report |
title_fullStr | A fatal retroperitoneal bleeding from iliolumbar artery following open reduction and internal fixation of an unstable pelvic ring injury: A case report |
title_full_unstemmed | A fatal retroperitoneal bleeding from iliolumbar artery following open reduction and internal fixation of an unstable pelvic ring injury: A case report |
title_short | A fatal retroperitoneal bleeding from iliolumbar artery following open reduction and internal fixation of an unstable pelvic ring injury: A case report |
title_sort | fatal retroperitoneal bleeding from iliolumbar artery following open reduction and internal fixation of an unstable pelvic ring injury: a case report |
topic | 7100 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9935979/ https://www.ncbi.nlm.nih.gov/pubmed/36800615 http://dx.doi.org/10.1097/MD.0000000000032798 |
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