Document Detail

Hemorrhage secondary to pelvic fracture: coil embolization of an aberrant obturator artery.
MedLine Citation:
PMID:  12932187     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe the anatomical variations of the corona mortis, a vascular anomaly that may lead to dangerous hemorrhage and possible death. CASE REPORT: A 46-year-old male cyclist was involved in a collision with a car, during which he sustained fractures to the left ribs and pelvic ring. Abdominal ultrasound imaging demonstrated a large (12x6x7 cm) nonhomogeneous mass ventral to the bladder, suggestive of a hematoma, which was confirmed on computed tomography. During angiography, 2 branches of the internal iliac artery were identified as sources of the bleeding; these were successfully embolized with microcoils, but the bleeding continued. Examination of the external iliac system found a lacerated aberrant obturator artery arising from the inferior epigastric branch of the external iliac artery, a condition known as the corona mortis. Additional embolization quelled the hemorrhage. CONCLUSIONS: Coil embolization of the internal iliac artery branches is very effective in managing hemorrhage due to pelvic fractures, but variations in the origin of the obturator artery from the internal or external iliac artery may be additional sources of bleeding.
Bernd Daeubler; Suzanne E Anderson; Michael Leunig; Jürgen Triller
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  10     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2003 Jun 
Date Detail:
Created Date:  2003-08-22     Completed Date:  2004-02-02     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  676-80     Citation Subset:  IM    
Departments of Radiology, University Hospital of Berne, Inselspital, Berne, Switzerland.
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MeSH Terms
Embolization, Therapeutic* / methods
Fractures, Bone / complications*
Hemorrhage / etiology*,  therapy*
Iliac Artery / abnormalities,  injuries*,  surgery*
Middle Aged
Pelvic Bones / injuries*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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