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Case Reports
. 2023 Jun;36(2):137-141.
doi: 10.20408/jti.2022.0046. Epub 2022 Dec 1.

External iliac artery injury with posterior pelvic ring injury in Korea: two case reports

Joosuk Ahn  1 , Ji Wan Kim  2
Affiliations
Case Reports

External iliac artery injury with posterior pelvic ring injury in Korea: two case reports

Joosuk Ahn et al. J Trauma Inj. 2023 Jun.

Abstract

Pelvic ring injuries associated with external iliac artery injuries are rare and may be life-threatening condition. The most important factors in the managements are the immediate bleeding control and restoration of distal blood flow. We report two cases of pelvic ring injuries with external artery injuries. One case was occlusion of external iliac artery with concomitant rupture of internal iliac artery. The other case was ruptured external iliac artery. Every surgeon must understand the possibility of hidden lesions-for example, arterial rupture and thrombus-and should consider the need for embolization or thrombectomy when treating this type of injury.

Keywords: Case reports; External iliac artery; Pelvic fracture; Pelvic ring injury; Vascular system injuries.

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Conflict of interest statement

Conflicts of interest The authors have no conflicts of interest to declare.

Figures

Fig. 1.
Fig. 1.
Anteroposterior pelvic and lateral ankle radiographs showing (A) both sacral fractures, both superior and inferior rami fractures, anterior right iliac wing fracture, and (B) left calcaneal fracture.
Fig. 2.
Fig. 2.
Angiography of lower extremities. (A, B) An abrupt stoppage of flow was identified in the right external iliac artery (arrows). (C) Balloon angioplasty and thrombectomy were done. (D) The removed thrombus. (E) After the removal of filling defect.
Fig. 3.
Fig. 3.
An anteroposterior pelvis radiograph at postoperative 6 weeks.
Fig. 4.
Fig. 4.
An anteroposterior pelvis radiograph showing Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association (AO/OTA) C3 pelvic ring injury, left femoral neck/subtrochanteric fracture, and right intertrochanteric/subtrochanteric/shaft fractures.
Fig. 5.
Fig. 5.
Angiography of lower extremities. An abrupt stoppage of flow was identified in the left common iliac artery (arrow).
See this image and copyright information in PMC

References

    1. Huittinen VM, Slatis P. Postmortem angiography and dissection of thehypogastric artery in pelvic fractures. Surgery. 1973;73:454–62. - PubMed
    1. Carrillo EH, Wohltmann CD, Spain DA, Schmieg RE, Jr, Miller FB, Richardson JD. Common and external iliac artery injuries associated with pelvic fractures. J Orthop Trauma. 1999;13:351–5. - PubMed
    1. Buscaglia LC, Matolo N, Macbeth A. Common iliac artery injury from blunttrauma: case reports. J Trauma. 1989;29:697–9. - PubMed
    1. Gupta N, Auer A, Troop B. Seat belt-related injury to the common iliacartery: case report and review of the literature. J Trauma. 1998;45:419–21. - PubMed
    1. Thomford NR, Curtiss PH, Marable SA. Injuries of the iliac and femoralarteries associated with blunt skeletal trauma. J Trauma. 1969;9:126–34. - PubMed

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