Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/S1677-54492011000100010
Jornal Vascular Brasileiro
Desafio Terapêutico

Tratamento endovascular de hemorragia pélvica após trauma fechado: desafio terapêutico

Endovascular treatment of pelvic hemorrhage after blunt trauma: a therapeutic challenge

Jerônimo de Azevêdo e Sá Junior; Pedro Coelho Nogueira Diógenes; Carlos Newton Nogueira Diógenes; Francisco Eduardo Siqueira da Rocha; Rodrigo Machado Landim; Lailma Almeida; Marianna Mendonça de Almeida Thiers

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Resumo

Paciente de 16 anos do sexo masculino sofreu trauma pélvico fechado, seguido de formação de abscesso do músculo psoas e outras complicações infecciosas. Submetido a drenagem do abscesso retroperitonial onde foi encontrado extenso sangramento. A hemorragia foi contida com compressas. Após abordagem endovascular por embolização dos ramos da artéria hipogástrica, houve cessação da hemorragia, as compressas foram retiradas e o paciente recebeu alta do hospital sem complicações.

Palavras-chave

Artéria, hematoma, embolização terapêutica

Abstract

A 16-year-old male patient sustained pelvic blunt trauma followed by an abscess formation of the psoas muscle and other infectious complications. Open drainage of the retroperitoneal abscess resulted in massive hemorrhage that was temporarily controlled by packing. After endovascular treatment by embolization of branches of the hypogastric artery, the hemorrhage was definitively controlled. Packs were removed and the patient was discharged with no further complications.

Keywords

Artery, hematoma, embolization

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