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Does Pelvic Hematoma on Admission Computed Tomography Predict Active Bleeding at Angiography for Pelvic Fracture?
- Source :
- The American Surgeon. 71:759-762
- Publication Year :
- 2005
- Publisher :
- SAGE Publications, 2005.
-
Abstract
- Pelvic angiography plays an increasing role in the management of pelvic fractures (PFs). Little has been written regarding the size of pelvic hematoma on admission computed tomography (CT) and how it relates to angiography results after PF. This is a retrospective review of trauma patients with PF who underwent an admission abdominal/pelvic CT scan and pelvic angiography from 2001 to 2003. CT pelvic hematoma was measured and classified as minimal or significant based on hematoma dimensions. Presence of a contrast blush on CT scan was also documented. Thirty-seven patients underwent an admission CT scan and went on to pelvic angiography. Of the 22 patients with significant pelvic hematoma, 73 per cent (n = 16) had bleeding at angiography. Fifteen patients had minimal pelvic hematoma, with 67 per cent (n = 10) showing active bleeding at angiography. In addition, five of six patients (83%) with no pelvic hematoma had active bleeding at angiography. Six patients had a blush on CT scan, with five of these (83%) having a positive angiogram. But, 22 of 31 (71%) patients with no blush on CT scan had bleeding at angiography. The absence of a pelvic hematoma or contrast blush should not alter indications for pelvic angiography, as they do not reliably exclude active pelvic bleeding.
- Subjects :
- Adult
Male
medicine.medical_specialty
Pelvic hematoma
Hemorrhage
Wounds, Nonpenetrating
Pelvis
Fractures, Bone
Hematoma
Predictive Value of Tests
medicine
Humans
cardiovascular diseases
Pelvic Bones
Aged
Retrospective Studies
medicine.diagnostic_test
business.industry
Angiography
Retrospective cohort study
General Medicine
Middle Aged
Pelvic cavity
medicine.disease
body regions
medicine.anatomical_structure
Predictive value of tests
cardiovascular system
Pelvic fracture
Female
Radiology
Tomography, X-Ray Computed
business
Subjects
Details
- ISSN :
- 15559823 and 00031348
- Volume :
- 71
- Database :
- OpenAIRE
- Journal :
- The American Surgeon
- Accession number :
- edsair.doi.dedup.....ab1b6ef3ef272f7cf78c180decb3a3d0
- Full Text :
- https://doi.org/10.1177/000313480507100913