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Anal Necrosis Following Pelvic Crush Injury

John S.Berry MD, Alfred F. Trappey MD, Joseph L. Petfield MD, Julia M. Greene MD, Katherine Markell MD

Julia Greene, November 28, 2012

Arterial haemorrhage within the pelvic circulation can be controlled by nonselective embolization. However, complications are associated with distal ischemia from disruption of the aortoiliac circulation. Reported complications of pelvic crush injury include impotence, lower extremity nerve deficits, left colon ischemia, spinal cord injury, and necrosis of the rectum and gluteal musculature. We report a case of anal canal necrosis after a pelvic crush injury attributed to hypotension, compression by pelvic hematoma, and arterial disruption after selective unilateral transcatheter arterial embolization (TAE).

An Iliac Nutrient Foramen Bleed in The Delayed Revision of an Acetabular Fracture

Jianshun Wang, November 18, 2011

Despite the challenges of delayed revision of acetabular fractures, severe haemorrhage leading to haemodynamic instability is not often encountered. Immediate intraoperative detection and cessation of the bleeding source is vital. We present a case highlighting an iliac nutrient foramen haemorrhage which almost resulted in a lethal haemorrhage during an open reduction of a delayed ace tabular fracture via the ilioinguinal approach.

Bilateral lower extremity gunshot wound with arterial and venous injury

Gunshot injury to both lower limbs requiring vascular damage control

sam zeraatian nejad davani, December 26, 2010

20 years old man after civilian gunshot wound, arrived in our emergency department with profound shock and ongoing bleeding from gunshot wounds to both thighs.

Gunshot to Carotid Artery

Gunshot carotid artery: angiogram & vein graft repair

Herb Phelan, Parkland Memorial Hospital, Dallas, TX, USA, July 10, 2007

A gunshot wound to the left neck, disrupting the internal and external carotid arteries.  Operative repair with reversed vein graft.