Keywords:
Haemorrhage, Embolisation, CT, Emergency
Authors:
V. Miele1, G. L. Buquicchio1, I. Di Giampietro1, V. Di Giacomo1, G. Menichini2, M. Galluzzo3, S. Pieri4, M. Trinci5; 1Rome/IT, 2Roma/IT, 3Roma (RM)/IT, 4Roma /IT, 5Roma, ITALY/IT
DOI:
10.1594/ecr2013/C-1561
Results
Among 180 patients with pelvic injury,163 showed a pelvic hematoma; 27/180 patients showed a soft tissue hematoma (mainly glutes’),
22/27 associated with pelvic hematoma.
At CT active hemorrhage was identified in 47/180 cases (29 bleedings were visible in the arterial phase; 9 in the venous one; 2 in both of them; 11 near bone stumps).
All 47 patients underwent arteriography,
regardless of the type of bleeding detected.
Because of the continuing critical hemodynamic conditions,
20 patients underwent arteriography in the absence of active extravasation,
without other evidence of significant extrapelvic blood loss but in presence of a pelvic hematoma.
Arteriography showed hemorrhage in 22/29 cases of arterial bleeding,
3/9 case of venous phase bleeding,
2/11 cases of bleeding near bone stumps.
In all these cases has been practiced a targeted treatment of embolization.
Of the 20 patients underwent arteriography without evidence of active bleeding at CT,
4/20 showed active extravasation of contrast material and 2/20 underwent internal ilyac embolization even in absence of extravasation.