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Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture

Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture
Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture

A 49-year-old man following a road traffic accident (RTA) had an unstable pelvic fracture with urethral injury. Internal pelvic fixation with Supra-pubic catheter (SPC) drainage of his bladder was done. This failed to stop the bleeding and a pelvic angiography with bilateral internal iliac embolization using steel coils was performed successfully controlling the bleeding. After 4 weeks, the patient developed wound infection (Clavien Grade III) and on exploration, bladder necrosis was found. A urinary diversion using ileal conduit with excision of bladder was performed. A biopsy of the excised bladder confirmed bladder necrosis with a foreign material (coil) in one arterial lumen.

Journal Article
166-168
Ali, Ahmed
71a2b47d-0a71-41a9-a090-0904a7803771
Nabi, Ghulam
20d3e635-ec9c-4b53-8703-f50b443196da
Swami, Satchi
2e3d8ad4-939b-4579-b8a9-5be124235f6a
Somani, Bhaskar
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Ali, Ahmed
71a2b47d-0a71-41a9-a090-0904a7803771
Nabi, Ghulam
20d3e635-ec9c-4b53-8703-f50b443196da
Swami, Satchi
2e3d8ad4-939b-4579-b8a9-5be124235f6a
Somani, Bhaskar
ab5fd1ce-02df-4b88-b25e-8ece396335d9

Ali, Ahmed, Nabi, Ghulam, Swami, Satchi and Somani, Bhaskar (2014) Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture. Urology Annals, 6 (2), 166-168. (doi:10.4103/0974-7796.130657).

Record type: Article

Abstract

A 49-year-old man following a road traffic accident (RTA) had an unstable pelvic fracture with urethral injury. Internal pelvic fixation with Supra-pubic catheter (SPC) drainage of his bladder was done. This failed to stop the bleeding and a pelvic angiography with bilateral internal iliac embolization using steel coils was performed successfully controlling the bleeding. After 4 weeks, the patient developed wound infection (Clavien Grade III) and on exploration, bladder necrosis was found. A urinary diversion using ileal conduit with excision of bladder was performed. A biopsy of the excised bladder confirmed bladder necrosis with a foreign material (coil) in one arterial lumen.

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More information

Accepted/In Press date: 14 December 2012
e-pub ahead of print date: 15 April 2014
Published date: April 2014
Keywords: Journal Article

Identifiers

Local EPrints ID: 419116
URI: https://eprints.soton.ac.uk/id/eprint/419116
PURE UUID: f975df51-5b2a-4f1f-99fe-7c02d2590b56

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Date deposited: 05 Apr 2018 16:30
Last modified: 13 Mar 2019 18:44

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Contributors

Author: Ahmed Ali
Author: Ghulam Nabi
Author: Satchi Swami
Author: Bhaskar Somani

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