Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture

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).

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.

This record has no associated files available for download.

Contributors

Download statistics