Massive Gluteal Muscle Necrosis After Iliac Arterial Embolization in Pelvic Trauma: A Literature Review and Illustrative Case Report

Overview

Journal J Orthop Case Rep

Specialty Orthopedics

Date 2018 Dec 26

PMID 30584510

Authors

Michelle C OBrien

Benjamin A Schell

Harrison Lands

Jonathon M Spanyer

Madhusudhan R Yakkanti

Affiliations

Soon will be listed here.

Abstract

Introduction: Traumatic pelvic injuries causing retroperitoneal bleeding can be managed with angiographic embolization. This procedure carries a small but potentially devastating risk of gluteal muscle necrosis.

Case Report: An 18-year-old trauma patient suffered from massive gluteal muscle necrosis following angiographic embolization for hemorrhage from pelvic fracture was reported.

Conclusion: To limit morbidity and mortality, the orthopedic surgeon should have a high suspicion for gluteal muscle necrosis to allow for early diagnosis and then treatment with decompression and debridement.

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