경희대학교
의과대학 부속병원 응급의학과
이승철·김명천·고영관
A
Case of Hypovolemic Shock Associated with Superior Gluteal Artery Pupture
Without
Pelvic Fracture in Blunt Trauma
Seung
Chul Lee, M.D., Myung Chun Kim, M.D.,Young Gwan Ko, M.D.
Superior
gluteal artery rupture without pelvic fracture is extremely rare, but the rupture
of this vessel is a well-known complication of pelvic fractures. This vessel appears
to be at risk at the time of pelvic fracture because of its vulnerable anatomical
position in the sacrosciatic notch. The rupture of this vessel causes profound hypotension
and compartment syndrome of the gluteal or thigh region. Embolization is the most
effective treatment. We report an unusual case of a superior glutea1 artery rupture
without pelvic fracture in blunt trauma.
Key
Words: Blunt trauma, Superior gluteal artery rupture, Hypovolemic shock, Compartment
syndrome |
