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Case Reports
. 2021 Apr 21:33:100484.
doi: 10.1016/j.tcr.2021.100484. eCollection 2021 Jun.

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

Hiroki Nagasawa  1 , Kazuhiko Omori  1 , Youichi Yanagawa  1
Affiliations
Case Reports

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

Hiroki Nagasawa et al. Trauma Case Rep. .

Erratum in

Abstract

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.

Keywords: Hemorrhage; Median sacral artery; Trans-catheter embolization; Trauma.

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Conflict of interest statement

None.

Figures

Fig. 1
Fig. 1
Portable X-radiograph showing L4–5 fracture dislocation.
Fig. 2
Fig. 2
A. Contrast enhanced CT scan showing some extravasations (white arrows) around L4–5 fracture dislocation. B. Contrast enhanced CT scan showing an extravasation (white arrow) from median sacral artery.
Fig. 3
Fig. 3
Trunk fixation connecting the external fixation of the pelvis and the halo vest.
Fig. 4
Fig. 4
A, B. X-radiograph of around L4-L5 after the surgical operation on day 25.
See this image and copyright information in PMC

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