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Anatomic distribution of hematoma following pelvic fracture
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Radiology.
2018 (English)In: British Journal of Radiology, ISSN 0007-1285, E-ISSN 1748-880X, Vol. 91, no 1085, article id 20170840Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To assess the extent of pelvic hemorrhage on CT and to estimate its significance on outcome in patients with blunt high-energy pelvic trauma.

METHODS: test and Fisher's exact test.

RESULTS: Pelvic hemorrhage extended beyond the pelvis to the abdominal area in 47% of the patients, to the thighs in 25% and to the gluteal areas in 81%. The extent of hemorrhage was significantly associated with the need for blood transfusions (p = 0.011) and angiography (p < 0.001), but not with 30-day mortality.

CONCLUSION: Traumatic pelvic bleeding frequently extends beyond the true pelvis. Extrapelvic hemorrhage correlates with an increased need of transfusions, but not with 30-day mortality. Further studies are needed to assess whether present techniques to control pelvic bleeding need to be modified in order to further reduce mortality in traumatic pelvic hemorrhage. Advances in knowledge: The study shows localization of pelvic hemorrhage in trauma patients. It may help to select patients in need of further interventions to control bleeding.

Place, publisher, year, edition, pages
2018. Vol. 91, no 1085, article id 20170840
National Category
Radiology, Nuclear Medicine and Medical Imaging
Identifiers
URN: urn:nbn:se:uu:diva-343528DOI: 10.1259/bjr.20170840ISI: 000432584200027PubMedID: 29419325OAI: oai:DiVA.org:uu-343528DiVA, id: diva2:1186282
Available from: 2018-02-28 Created: 2018-02-28 Last updated: 2018-08-17Bibliographically approved

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