TY  - JOUR
PY  - 2018//
TI  - Nondisplaced pubic ramus fracture associated with exsanguination and death
JO  - American journal of emergency medicine
A1  - Rich, Chana
A1  - Rayner, James
A1  - Raukar, Neha
SP  - 342.e1
EP  - 342.e2
VL  - 36
IS  - 2
N2  - We present a case of an elderly man who sustained non-displaced fractures through the right superior and inferior pubic rami after a fall from standing and had a tragic outcome. While minimally displaced pubic ramus fractures are typically stable and require only symptomatic treatment, there have been reports, such as this one, of low-energy pubic rami fractures resulting in massive hemorrhage. Despite aggressive resuscitation and embolization of the right obturator artery, our patient ultimately died during his hospitalization. This report highlights the need to maintain a high index of suspicion for intrapelvic bleeds even in patients with nondisplaced pubic rami fractures. Rapid recognition and treatment of intrapelvic bleeds can be lifesaving.<br><br>Copyright © 2017. Published by Elsevier Inc.<p />  <p>Language: en</p>
LA  - en
SN  - 0735-6757
UR  - http://dx.doi.org/10.1016/j.ajem.2017.10.062
ID  - ref1
ER  -