Journal of the Korean Orthopaedic Association (대한정형외과학회지)
- Volume 54 Issue 6
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- Pages.557-561
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- 2019
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- 1226-2102(pISSN)
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- 2005-8918(eISSN)
DOI QR Code
Massive Hemorrhage Caused by a Non-Displaced Pubic Ramus Fracture from Low-Energy Trauma
저에너지 외상에 의한 비전위 치골지 골절에서 발생한 대량출혈
- Na, Hwa-Yeop (Department of Orthopedic Surgery, Bundang Jesaeng Hospital) ;
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Shin, Keun-Young
(Department of Orthopedic Surgery, Bundang Jesaeng Hospital) ;
- Choe, Saehun (Department of Orthopedic Surgery, Bundang Jesaeng Hospital)
- Received : 2018.10.11
- Accepted : 2019.01.25
- Published : 2019.12.30
Abstract
Most low-energy pelvic ring fractures in elderly patients are treated conservatively so that an initial evaluation for complications such as vascular injury is usually overlooked. An 81-year-old female, who was taking regular aspirin, visited the emergency room and was diagnosed with a simple non-displaced pubic ramus fracture from a low-energy fall from standing, which was complicated by massive hemorrhage from the overlooked injury of the corona mortis. Elderly patients with pelvic ring fractures can have a delayed presentation of vascular injuries, regardless of the degree of displacement of the fractures, which highlights the need for a careful physical examination and close monitoring.
대부분의 저에너지 외상에 의한 골반환 골절은 합병증 없이 보존적 치료만으로 호전이 되어 혈관손상 등의 합병증에 대한 초기평가를 간과하기 쉽다. 본 증례보고에서는 평소 aspirin을 복용하던 81세 여자환자가 낙상으로 비전위성 치골지 골절이 발생하면서 corona mortis가 손상되어 나타난 대량출혈을 보고하는 바이다. 고령의 골반환 골절 환자에서는 골절의 전위 여부와 관계없이 혈관 손상이 지연되어 발생할 수도 있기 때문에 면밀한 이학적 검사 및 감시가 필요하다.
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