Department of Radiology, Affiliated Taizhou Hospital of Wenzhou Medical University, Taizhou, Zhejiang Province 317000, China.
Department of Radiology, The No. 1 People's Hospital of Ningbo, Ningbo, Zhejiang Province 315000, China.
Am J Emerg Med. 2018 Mar;36(3):527.e1-527.e3. doi: 10.1016/j.ajem.2017.12.021. Epub 2017 Dec 8.
Isolated pubic ramus fractures are common and generally uncomplicated injuries in the elderly. However, pubic ramus fractures are closely related to important vascular structures. The corona mortis, located in the retropubis, has an important anastomotic value, as it serves as a communication between the internal and external iliac vessels. The following case report describes an 88-year-old male who was diagnosed with a right superior pubic ramus fracture, which led to a severe picture of hemodynamic instability. Emergent angiography demonstrated injury of the corona mortis. After super-selective embolization of the corona mortis artery with a balloon-assisted coiling technique, the patient progressed satisfactorily and was discharged after 7days.
孤立性耻骨支骨折在老年人中较为常见，通常不复杂。然而，耻骨支骨折与重要的血管结构密切相关。耻骨梳动脉位于耻骨后，有重要的吻合价值，是髂内、外动脉之间的交通支。以下病例报告描述了一位 88 岁男性，被诊断为右侧耻骨上支骨折，导致严重的血流动力学不稳定。紧急血管造影显示耻骨梳动脉损伤。采用球囊辅助弹簧圈技术对耻骨梳动脉进行超选择性栓塞后，患者病情好转，7 天后出院。
