Life-threatening vascular injury in an elderly patient with isolated pubic ramus fracture:A case report  

作　　者：Evangelos Sakellariou Evangelia Argyropoulou Athanasios Galanis Meletis Rozis Dimitrios Zachariou Iordanis Varsamos Nicolaos Parchas Dimitrios Kalavrytinos Panagiotis Karampinas Elias S Vasiliadis John Vlamis Spiros Pneumaticos 

机构地区：[1]3^(rd)Department of Orthopaedic Surgery,KAT General Hospital,National&Kapodistrian University of Athens,Athens 14561,Greece [2]Department of Orthopaedics and Traumatology,University General Hospital of Patras,Patras 26504,Greece [3]Department of Orthopaedic Surgery,251 Air Force General Hospital,Athens 11525,Greece

出　　处：《World Journal of Clinical Cases》2025年第21期78-83,共6页世界临床病例杂志(英文)

摘　　要：BACKGROUND Pubic ramus fractures are generally considered fragility fractures in the elderly population,commonly deriving from a low-impact fall.Treatment is ordinarily conservative and hemodynamic complications are exceedingly infrequent.Notwithstanding,patients with copious comorbidities should be carefully monitored for potential vascular injury.CASE SUMMARY This case report presents the management of a 75-year-old male patient with a history of diabetes mellitus and arterial hypertension who was admitted to the emergency room with a superior pubic ramus fracture.The patient experienced a significant drop in hematocrit and hemoglobin levels post-admission,necessi-tating urgent intervention.A computed tomography angiography revealed active bleeding,leading to the embolization of the medial femoral branch.The patient was stabilized hemodynamically and was discharged after 15 days,with recom-mendations for home-based follow-up care.CONCLUSION This report denotes the various challenges and strategies in managing simple fractures that are treated conservatively,but need prompt monitoring for occult vascular injuries that can be fatal.

关 键 词：Pubic ramus fracture EMBOLIZATION COMPLICATIONS Elderly Vascular injury PELVIS FRACTURE Case report 

分 类 号：R687.3[医药卫生—骨科学]