ABSTRACT
Superior gluteal artery rupture is a rare complication of trauma but a significant one with potential for substantial morbidity and mortality. This case demonstrates the importance of early diagnosis and treatment of this injury pattern. Endovascular embolisation has become the most effective treatment for pelvic haemorrhage. Acknowledgement of this rare injury as a differential diagnosis is vital to facilitate rapid diagnosis and appropriate treatment.
Subject(s)
Buttocks/blood supply , Hemorrhage/diagnostic imaging , Hip Injuries/diagnosis , Hockey/injuries , Vascular System Injuries/diagnosis , Wounds, Nonpenetrating/diagnosis , Aneurysm, False/surgery , Antifibrinolytic Agents/therapeutic use , Computed Tomography Angiography , Embolization, Therapeutic/methods , Endovascular Procedures , Equipment Failure , Erythrocyte Transfusion , Femoral Artery/surgery , Hematoma/diagnostic imaging , Hemorrhage/therapy , Hip Injuries/therapy , Humans , Male , Postoperative Complications/diagnostic imaging , Postoperative Complications/surgery , Postoperative Hemorrhage/diagnostic imaging , Postoperative Hemorrhage/surgery , Rupture , Tomography, X-Ray Computed , Tranexamic Acid/therapeutic use , Vascular Closure Devices , Vascular System Injuries/therapy , Wounds, Nonpenetrating/therapy , Young AdultABSTRACT
Recent military operations have resulted in a small but significant number of military personnel suffering severe perineal injuries. In association with lower limb amputation and pelvic fracture, this complex is described as the 'signature injury' of the current conflict in Afghanistan. There are significant consequences of surviving severe perineal injury but the experience of managing these casualties is limited. This article gives an overview of the processes developed to meet these challenges and introduces a series of articles which examine the subject in finer detail.
