Type:
Educational Exhibit
Keywords:
Trauma, Haemorrhage, Cystography / Uretrography, Complications, CT-Angiography, CT, Catheter arteriography, Interventional vascular, Emergency
Authors:
G. Zanirato Rambaldi, A. Tarsi, M. Giannotta, V. Cosi, P. E. Orlandi, M. Imbriani; Bologna/IT
DOI:
10.26044/ecr2019/C-2192
Background
The major trauma is the sixth leading cause of death in the world and the leading cause of death and disability in the population between 5 and 45 years,
with an estimated mortality of about 800,000 cases per year in the population in Western countries.
Male prevalence is 2.4 times greater than women [1].
Pelvic trauma is generally linked to high-energy trauma and is often associated with other potentially fatal injuries in over 90% of cases,
linked in particular to lesions of the vessels.
The overall mortality can reach 33% [2].
80% of the injuries of the pelvis occurs as a result of road accidents,
10% secondary to falls,
8% to crush trauma [3].
Among the sources of morbidity and mortality related to the traumas of the pelvis,
both contusive and penetrating,
which are associated with pelvic ring fractures,
the lesions of the genitourinary system and the neurological implications [4].
Distal urinary tract injuries can lead to increased mortality,
particularly in cases of delayed diagnosis [5].
Burgess and Young classification of hip fractures can change the therapeutic approach,
since unstable fractures are related to more vascular and urological complications.