A CASE OF PSEUDOANEURYSM OF THE SUPERIOR GLUTEAL ARTERY SECONDARY TO UNSTABLE PELVIC RING FRACTURE

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  • HIRATSUKA Keisuke
    Department of Emergency and Critical Care Medicine, Showa University School of Medicine
  • TANAKA Keiji
    Department of Emergency and Critical Care Medicine, Showa University School of Medicine
  • MIYAKE Yasufumi
    Department of Emergency and Critical Care Medicine, Showa University School of Medicine
  • ARUGA Tohru
    Department of Emergency and Critical Care Medicine, Showa University School of Medicine

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Other Title
  • 動脈塞栓術が有効であった不安定骨盤輪骨折に続発した上殿動脈仮性動脈瘤の1例
  • 症例報告 動脈塞栓術が有効であった不安定骨盤輪骨折に続発した上殿動脈仮性動脈瘤の1例
  • ショウレイ ホウコク ドウミャク ソクセンジュツ ガ ユウコウ デ アッタ フアンテイ コツバン リン コッセツ ニ ゾクハツ シタ ジョウデン ドウミャク カセイ ドウミャクリュウ ノ 1レイ

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Abstract

Aneurysms of the superior gluteal artery following blunt trauma are relatively rare. A 38-year-old man was injured in a traffic accident. On day 8 of hospitalization, invasive open reduction and internal fixation was performed for an unstable pelvic ring fracture. Postoperative wound infection occurred, and wound cleaning was performed on a daily basis. On day 41 of hospitalization, he began experiencing sudden buttock pain, and image diagnosis revealed a superior gluteal artery pseudoaneurysm. On day 44, transcatheter arterial embolization was performed, his symptoms were resolved, and no obstruction was observed. Distinguishing traumatic and infectious aneurysms is extremely difficult. Embolotherapy for pseudoaneurysms is an effective treatment procedure.

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