A case of median sacral artery avulsion injury by L4–5 lateral dislocation fracture. (June 2021)

• Record Type: Journal Article
• Authors: Nagasawa, Hiroki; Omori, Kazuhiko; Yanagawa, Youichi
• Is Part Of: Trauma case reports. Volume 33(2021)
• Publication Date: 2021-06
• Subjects: Hemorrhage -- Median sacral artery -- Trans-catheter embolization -- Trauma; Wounds and injuries -- Periodicals; Traumatology -- Periodicals; 617.1005
• DOI: 10.1016/j.tcr.2021.100484
• Languages: English
• ISSNs: 2352-6440

Abstract

Abstract: Introduction: The median sacral artery injury is a rare entity, especially in trauma. And the injuries are always with pelvic fractures. We describe a case of the median sacral injury which was induced by blunt trauma without pelvic fractures. Case presentation: A 26-year-old male who suffered L4–5 fracture dislocation and some hemorrhage in pelvic cavity following a motorcycle accident. He had a median sacral artery injury, and we tried to the trans-catheter arterial embolization, however it could not be success. The embolization was performed using of gelatin sponges in bilateral internal iliac artery and left 4th lumber artery. After his admission, a demand of transfusions lasted for 7 days. Conclusion: We successfully treated a case of median sacral avulsion injury by choosing conservative treatment.