Stephen D J
Division of Orthopedic Surgery, Sunnybrook Health Science Centre, Toronto, Ontario, Canada.
J Trauma. 1997 Jul;43(1):146-9. doi: 10.1097/00005373-199707000-00037.
This case report describes a complication after treatment of a rotationally unstable pelvic fracture: a pseudoaneurysm of the superior gluteal arterial system. The patient sustained an anterior-posterior compression pelvic fracture that was stabilized with anterior symphyseal plating and percutaneous iliosacral screw insertion. The etiology of the pseudoaneurysm was likely multifactorial, including the injury (anterior-posterior compression pelvic fracture), prolonged coagulation parameters during administration of warfarin, and the percutaneous insertion of an iliosacral lag screw. A pseudoaneurysm of the superior gluteal arterial system should be included in the differential diagnosis of unexplained pelvic or buttock pain after a pelvic fracture.
臀上动脉系统假性动脉瘤。患者遭受了前后挤压型骨盆骨折，通过耻骨联合前路钢板固定和经皮骶髂螺钉置入进行了稳定治疗。假性动脉瘤的病因可能是多因素的，包括损伤（前后挤压型骨盆骨折）、华法林给药期间凝血参数延长以及经皮置入骶髂拉力螺钉。臀上动脉系统假性动脉瘤应纳入骨盆骨折后不明原因骨盆或臀部疼痛的鉴别诊断中。
