First report of hypogastric arteries angioembolization within the context of pelvic trauma in Uruguay

  • Matías Pécora Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Médico residente del Centro de tratamiento Intensivo, Hospital de Clínicas. Departamento de Fisiopatología, Asistente
  • Leonardo Sande Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Centro de Tratamiento Intensivo, Asistente
  • Marcelo Langleib Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Departamento Clínico de Imagenología, Profesor agregado
  • Alberto Biestro Universidad de la República, Facultad de Medicina, Hospital de Clínicas, Centro de Tratamiento Intensivo, Ex Profesor Director
Keywords: PELVIC TRAUMA, ANGIOEMBOLIZATION, HYPOGASTRIC ARTERIES, FIRST REPORT, URUGUAY

Abstract

Pelvic trauma is an extremely severe condition accounting for high mortality rates, and is the first cause of death in persistent hemorrhagic shock, secondary to several sources of bleeding, such as bone, viscera and mainly veins and arteries. Initial measures aim to reduce the volume of the pelvic cavity and to restore hemostasis. In recent years, growing evidence supports the use of angioembolization in the handling of these patients. The study presents, through a clinical case, the first report in Uruguay of non-selective  angioembolization of both hypogastric arteries in the handling of severe pelvic trauma. We will discuss the pathophysiology of severe pelvic trauma through a clinical case, mainly in
terms of indications, results and complications of angioembolization.

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Published
2022-06-28
How to Cite
1.
Pécora M, Sande L, Langleib M, Biestro A. First report of hypogastric arteries angioembolization within the context of pelvic trauma in Uruguay. Rev. Méd. Urug. [Internet]. 2022Jun.28 [cited 2024May19];38(2):e38213. Available from: http://www2.rmu.org.uy/ojsrmu311/index.php/rmu/article/view/890