Intrapelvic Hematoma Following Low-Energy Osteoporotic Pubic Ramus Fracutre: A Rare Case Report - Abstract
Osteoporotic pelvic fractures are common in the elderly and most often treated with pain management and mobilization. Pelvic hemorrhage rarely occurs but can prove life-threatening. An 86-year-old woman was admitted in the emergency department due to a fall from own height and sustained a displaced fracture of the superior ramus of the pubic bone. The patient presented with decreasing low blood pressure and tachycardia, and a CT-scan revealed an intraperitoneal bleed and pelvic hematoma. She was treated with intravenous fluids, fibrinolytic inhibitors and monitoring in the intensive care unit. A renewed CT-scan showed no active bleeding. Only few case reports of pelvic hemorrhage in osteoporotic pelvic fractures exist. There is no consensus on treatment regimen. Choice of treatment ranges from various conservative measures through to embolization. We emphasize, that it is essential to be aware of this rare but potentially life-threatening complication after low energy-traumas and report good results with conservative management.