John S.Berry MD, Alfred F. Trappey MD, Joseph L. Petfield MD, Julia M. Greene MD, Katherine Markell MD
, 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).
, 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.
Gunshot injury to both lower limbs requiring vascular damage control
, 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 carotid artery: angiogram & vein graft repair
, July 10, 2007
A gunshot wound to the left neck, disrupting the internal and external carotid arteries. Operative repair with reversed vein graft.