Open AccessBladder necrosis secondary to internal iliac artery embolization following pelvic fracture
Author(s) -
Abdelrahman Ali,
Ghulam Nabi,
Satchi Swami,
Bhaskar K. Somani
Publication year - 2014
Publication title -
urology annals
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.355
H-Index - 20
eISSN - 0974-7834
pISSN - 0974-7796
DOI - 10.4103/0974-7796.130657
Subject(s) - medicine , internal iliac artery , surgery , internal fixation , embolization , angiography , urinary bladder , lumen (anatomy) , urinary retention , pelvic fracture , catheter , pubic symphysis , pelvic cavity , radiology , pelvis
A 49-year-old man following a road traffic accident (RTA) had an unstable pelvic fracture with urethral injury. Internal pelvic fixation with Supra-pubic catheter (SPC) drainage of his bladder was done. This failed to stop the bleeding and a pelvic angiography with bilateral internal iliac embolization using steel coils was performed successfully controlling the bleeding. After 4 weeks, the patient developed wound infection (Clavien Grade III) and on exploration, bladder necrosis was found. A urinary diversion using ileal conduit with excision of bladder was performed. A biopsy of the excised bladder confirmed bladder necrosis with a foreign material (coil) in one arterial lumen.