1例L4-5侧方脱位骨折致骶中动脉撕脱伤
A case of median sacral artery avulsion injury by L4-5 lateral dislocation fracture.
作者信息
Nagasawa Hiroki, Omori Kazuhiko, Yanagawa Youichi
机构信息
Department of Acute Critical Care Medicine, Shizuoka Hospital, Juntendo University, Japan.
出版信息
Trauma Case Rep. 2021 Apr 21;33:100484. doi: 10.1016/j.tcr.2021.100484. eCollection 2021 Jun.
INTRODUCTION
The median sacral artery injury is a rare entity, especially in trauma. And the injuries are always with pelvic fractures. We describe a case of the median sacral injury which was induced by blunt trauma without pelvic fractures.
CASE PRESENTATION
A 26-year-old male who suffered L4-5 fracture dislocation and some hemorrhage in pelvic cavity following a motorcycle accident. He had a median sacral artery injury, and we tried to the trans-catheter arterial embolization, however it could not be success. The embolization was performed using of gelatin sponges in bilateral internal iliac artery and left 4th lumber artery. After his admission, a demand of transfusions lasted for 7 days.
CONCLUSION
We successfully treated a case of median sacral avulsion injury by choosing conservative treatment.
引言
骶中动脉损伤是一种罕见的情况，尤其是在创伤中。而且这种损伤总是伴有骨盆骨折。我们描述了一例由钝性创伤导致的骶中动脉损伤病例，该创伤并无骨盆骨折。
病例介绍
一名26岁男性在摩托车事故后出现L4-5骨折脱位以及盆腔内一些出血。他存在骶中动脉损伤，我们尝试进行经导管动脉栓塞术，但未成功。栓塞术是在双侧髂内动脉和左侧第四腰动脉使用明胶海绵进行的。他入院后，输血需求持续了7天。
结论
我们通过选择保守治疗成功治疗了一例骶中动脉撕脱伤病例。
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