Open AccessTemporal intrailiac balloon occlusion for the treatment of intractable pelvic fracture hemorrhage
Author(s) -
Ishida Kenichiro,
Noborio Mitsuhiro,
Shimahara Yumiko,
Nishimura Tetsuro,
Sogabe Taku,
Ieki Yohei,
Ehara Naoki,
Sadamitsu Daikai
Publication year - 2016
Publication title -
acute medicine and surgery
Language(s) - English
Resource type - Journals
ISSN - 2052-8817
DOI - 10.1002/ams2.167
Subject(s) - medicine , embolization , surgery , occlusion , balloon , intensive care unit , internal iliac artery , hemodynamics , pelvic fracture , radiology , anesthesia , pelvis
Case A 48‐year‐old schizophrenic man sustained multiple injuries following a fall. Unstable pelvic fractures were diagnosed in the emergency department. The patient's hemodynamic status was stabilized following bilateral internal iliac artery embolization using a gelatin sponge. However, recurrent bleeding and an expanding retroperitoneal hemorrhage occurred 1 h after transcatheter arterial embolization. Outcome Using temporal intrailiac balloon occlusion, with preperitoneal gauze packing, the patient's hemodynamic status was stabilized in the intensive care unit. No complications were observed following transcatheter arterial embolization and balloon occlusion. Conclusions Temporary intrailiac balloon occlusion is a rapid and safe treatment for refractory pelvic hemorrhage, which can be administered simultaneously with other treatments including preperitoneal gauze packing and external fixation.