| Fatal retroperitoneal hemorrhage caused by perforation of a guidewire pin for proximal femur fixation. | |
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MedLine Citation:
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PMID: 11995887 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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A 77-year-old woman with a slightly displaced intertrochanteric two-fragment fracture of the left hip was treated by internal fixation using a screw-nail device (gamma nail). After the operation she became hemodynamically unstable, and ultrasound revealed a large retroperitoneal fluid accumulation in the left lower abdomen. A contrast computed tomogram revealed active hemorrhage next to the quadrilateral surface of the left acetabulum. Selective angiography and embolization were immediately initiated and stopped the bleeding. However, despite the successful treatment of the retroperitoneal hemorrhage, the patient developed an oligosymptomatic myocardial infarction associated with clinical evidence of a cerebrovascular insult and pulmonary decompensation and died 2 weeks after her accident. The hemorrhage in this patient was most likely caused by surgical damage to the obturator artery during placement of the guidewire pin (with threaded tip) to position the screw of the implant. |
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Authors:
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Michael Leunig; Michael Meyer; Martin Beck; Jürgen Triller; Alexander Stupnicki; Heinz Zimmermann |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Archives of orthopaedic and trauma surgery Volume: 122 ISSN: 0936-8051 ISO Abbreviation: Arch Orthop Trauma Surg Publication Date: 2002 Feb |
Date Detail:
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Created Date: 2002-05-08 Completed Date: 2002-10-04 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9011043 Medline TA: Arch Orthop Trauma Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 61-3 Citation Subset: IM |
Affiliation:
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Department of Orthopedic Surgery, University of Berne, Inselspital, Switzerland. michael.leunig@insel.ch |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angiography Bone Nails / adverse effects* Fatal Outcome Female Fracture Fixation, Internal / adverse effects*, instrumentation*, methods Hemorrhage / diagnosis, etiology* Hip Fractures / diagnosis, surgery Humans Peritoneal Cavity Peritoneal Diseases / diagnosis, etiology* Postoperative Complications / diagnosis Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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