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Treatment for Laceration of Arterial Corona Mortis and Huge Retropubic Hematoma in an Elderly Man

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Abstract

There were rare reports about the laceration of arterial corona mortis but no study on treatment of huge retropubic hematoma after arterial corona mortis embolization. The following case report described a 64-year-old man who was hemodynamically unstable and diagnosed with fractures of left superior ramus of the pubis and huge retropubic hematoma, and underwent angiography embolization immediately. A few days after embolization, the patient presented symptoms of dysuria, frequent micturition, and tenesmus which were attributable to huge retropubic hematoma. Because of poor effect of conservative treatment, evacuation of retropubic hematoma was performed by laparotomy via the Stoppa approach, and the compressional symptoms disappeared after evacuation. For patients who suffered from pelvic fractures with pelvic hematoma and hemodynamic instability, angiography and embolization should be performed immediately, and surgical treatment was needed for huge retropubic hematoma with compressional symptoms.

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Authors and Affiliations

  1. Department of Traumatic Orthopedics, Shengli Oilfield Central Hospital, Dongying, 257000, Shandong Province, China

    Zhen Yang, Xianfeng Meng & Peng Fu

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  1. Zhen Yang
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  2. Xianfeng Meng
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  3. Peng Fu
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Correspondence to Zhen Yang.

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Yang, Z., Meng, X. & Fu, P. Treatment for Laceration of Arterial Corona Mortis and Huge Retropubic Hematoma in an Elderly Man. Indian J Surg 83 (Suppl 1), 243–246 (2021). https://doi.org/10.1007/s12262-021-02906-y

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  • DOI: https://doi.org/10.1007/s12262-021-02906-y

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