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Pelvic Hemorrhage

MedGen UID:
1673149
•Concept ID:
C1504419
•
Pathologic Function
Synonym: Pelvic Bleeding

Definition

Bleeding within the pelvic cavity. [from NCI]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVPelvic Hemorrhage

Professional guidelines

PubMed

Clinical utility of minimally invasive posterior internal fixation within the pelvic ring using S2 alar iliac screws for unstable pelvic ring fracture.
Wakayama Y, Higashi T, Kobayashi N, Choe H, Matsumoto M, Abe T, Takeuchi I, Inaba Y
Injury 2022 Oct;53(10):3371-3376. Epub 2022 Aug 17 doi: 10.1016/j.injury.2022.08.035. PMID: 36002344
Pelvic artery embolization in the management of obstetric hemorrhage.
Sidhu HK, Prasad G, Jain V, Kalra J, Gupta V, Khandelwal N
Acta Obstet Gynecol Scand 2010 Aug;89(8):1096-9. doi: 10.3109/00016349.2010.481015. PMID: 20397757
Management of hemorrhage in severe pelvic injuries.
Jeske HC, Larndorfer R, Krappinger D, Attal R, Klingensmith M, Lottersberger C, Dünser MW, Blauth M, Falle ST, Dallapozza C
J Trauma 2010 Feb;68(2):415-20. doi: 10.1097/TA.0b013e3181b0d56e. PMID: 19996797

Recent clinical studies

Etiology

Pelvic angioembolization: how urgently needed?
Devaney GL, King KL, Balogh ZJ
Eur J Trauma Emerg Surg 2022 Feb;48(1):329-334. Epub 2020 Oct 9 doi: 10.1007/s00068-020-01510-1. PMID: 33037465Free PMC Article
Accuracy of Contrast Extravasation on Computed Tomography for Diagnosing Severe Pelvic Hemorrhage in Pelvic Trauma Patients: A Meta-Analysis.
Moon SN, Pyo JS, Kang WS
Medicina (Kaunas) 2021 Jan 12;57(1) doi: 10.3390/medicina57010063. PMID: 33445551Free PMC Article
Pelvic packing and angio-embolization after blunt pelvic trauma: a retrospective 18-year analysis.
Hundersmarck D, Hietbrink F, Leenen LPH, Heng M
Injury 2021 Apr;52(4):946-955. Epub 2020 Nov 15 doi: 10.1016/j.injury.2020.11.039. PMID: 33223257
Pre-peritoneal pelvic packing for the management of life-threatening pelvic fractures.
Petrone P, Rodríguez-Perdomo M, Pérez-Jiménez A, Ali F, Brathwaite CEM, Joseph DK
Eur J Trauma Emerg Surg 2019 Jun;45(3):417-421. Epub 2018 Oct 4 doi: 10.1007/s00068-018-1018-4. PMID: 30284613
Displaced anterior pelvic fracture on initial pelvic radiography predicts massive hemorrhage.
Tanizaki S, Maeda S, Sera M, Nagai H, Nakanishi T, Hayashi M, Azuma H, Kano KI, Watanabe H, Ishida H
Am J Emerg Med 2018 Dec;36(12):2172-2176. Epub 2018 Mar 21 doi: 10.1016/j.ajem.2018.03.058. PMID: 29602669

Diagnosis

CT of acute abdominopelvic hemorrhage: protocols, pearls, and pitfalls.
Gomez E, Horton K, Fishman EK, Johnson PT
Abdom Radiol (NY) 2022 Jan;47(1):475-484. Epub 2021 Nov 3 doi: 10.1007/s00261-021-03336-w. PMID: 34731281
Torso vascular trauma.
Evans LL, Aarabi S, Durand R, Upperman JS, Jensen AR
Semin Pediatr Surg 2021 Dec;30(6):151126. Epub 2021 Oct 23 doi: 10.1016/j.sempedsurg.2021.151126. PMID: 34930597
Accuracy of Contrast Extravasation on Computed Tomography for Diagnosing Severe Pelvic Hemorrhage in Pelvic Trauma Patients: A Meta-Analysis.
Moon SN, Pyo JS, Kang WS
Medicina (Kaunas) 2021 Jan 12;57(1) doi: 10.3390/medicina57010063. PMID: 33445551Free PMC Article
Diagnosis and therapy of acute hemorrhage in patients with pelvic fractures.
Kos S, Gutzeit A, Hoppe H, Liu DM, Jacob AL
Semin Musculoskelet Radiol 2013 Sep;17(4):396-406. Epub 2013 Oct 7 doi: 10.1055/s-0033-1356469. PMID: 24101180
Unenhanced CT of abdominal and pelvic hemorrhage.
Katz DS, Lane MJ, Mindelzun RE
Semin Ultrasound CT MR 1999 Apr;20(2):94-107. doi: 10.1016/s0887-2171(99)90041-0. PMID: 10222518

Therapy

Inflate and pack! Pelvic packing combined with REBOA deployment prevents hemorrhage related deaths in unstable pelvic fractures.
Werner NL, Moore EE, Hoehn M, Lawless R, Coleman JR, Freedberg M, Heelan AA, Platnick KB, Cohen MJ, Coleman JJ, Campion EM, Fox CJ, Mauffrey C, Cralley A, Pieracci FM, Burlew CC
Injury 2022 Oct;53(10):3365-3370. Epub 2022 Jul 16 doi: 10.1016/j.injury.2022.07.025. PMID: 36038388
Plinia cauliflora (Mart.) Kausel: A comprehensive ethnopharmacological review of a genuinely Brazilian species.
Gasparotto Junior A, de Souza P, Lívero FADR
J Ethnopharmacol 2019 Dec 5;245:112169. Epub 2019 Aug 16 doi: 10.1016/j.jep.2019.112169. PMID: 31425732
Pediatric abdominal and pelvic trauma: safety and efficacy of arterial embolization.
Vo NJ, Althoen M, Hippe DS, Prabhu SJ, Valji K, Padia SA
J Vasc Interv Radiol 2014 Feb;25(2):215-20. Epub 2013 Nov 16 doi: 10.1016/j.jvir.2013.09.014. PMID: 24252774
Management of pelvic hemorrhage.
Tomacruz RS, Bristow RE, Montz FJ
Surg Clin North Am 2001 Aug;81(4):925-48. doi: 10.1016/s0039-6109(05)70174-2. PMID: 11551134
Unenhanced CT of abdominal and pelvic hemorrhage.
Katz DS, Lane MJ, Mindelzun RE
Semin Ultrasound CT MR 1999 Apr;20(2):94-107. doi: 10.1016/s0887-2171(99)90041-0. PMID: 10222518

Prognosis

Radiographic and Clinical Predictors of Therapeutic Pelvic Angiography.
Filiberto DM, Toth C, Afzal MO, Byerly S, Lenart EK, Kerwin AJ, Croce MA, Magnotti LJ
Am Surg 2022 Jul;88(7):1432-1436. Epub 2022 Apr 11 doi: 10.1177/00031348221080429. PMID: 35404149
Displaced anterior pelvic fracture on initial pelvic radiography predicts massive hemorrhage.
Tanizaki S, Maeda S, Sera M, Nagai H, Nakanishi T, Hayashi M, Azuma H, Kano KI, Watanabe H, Ishida H
Am J Emerg Med 2018 Dec;36(12):2172-2176. Epub 2018 Mar 21 doi: 10.1016/j.ajem.2018.03.058. PMID: 29602669
Angioembolization for pelvic hemorrhage control: results from the German pelvic injury register.
Hauschild O, Aghayev E, von Heyden J, Strohm PC, Culemann U, Pohlemann T, Suedkamp NP, Schmal H
J Trauma Acute Care Surg 2012 Sep;73(3):679-84. doi: 10.1097/TA.0b013e318253b5ba. PMID: 22710767
Hemorrhage in pelvic fractures does not correlate with fracture length.
Elzik ME, Dirschl DR, Dahners LE
J Trauma 2008 Aug;65(2):436-41. doi: 10.1097/TA.0b013e31817c5554. PMID: 18695482
Assessment of volume of hemorrhage and outcome from pelvic fracture.
Blackmore CC, Jurkovich GJ, Linnau KF, Cummings P, Hoffer EK, Rivara FP
Arch Surg 2003 May;138(5):504-8; discussion 508-9. doi: 10.1001/archsurg.138.5.504. PMID: 12742953

Clinical prediction guides

Inflate and pack! Pelvic packing combined with REBOA deployment prevents hemorrhage related deaths in unstable pelvic fractures.
Werner NL, Moore EE, Hoehn M, Lawless R, Coleman JR, Freedberg M, Heelan AA, Platnick KB, Cohen MJ, Coleman JJ, Campion EM, Fox CJ, Mauffrey C, Cralley A, Pieracci FM, Burlew CC
Injury 2022 Oct;53(10):3365-3370. Epub 2022 Jul 16 doi: 10.1016/j.injury.2022.07.025. PMID: 36038388
Radiographic and Clinical Predictors of Therapeutic Pelvic Angiography.
Filiberto DM, Toth C, Afzal MO, Byerly S, Lenart EK, Kerwin AJ, Croce MA, Magnotti LJ
Am Surg 2022 Jul;88(7):1432-1436. Epub 2022 Apr 11 doi: 10.1177/00031348221080429. PMID: 35404149
Displaced anterior pelvic fracture on initial pelvic radiography predicts massive hemorrhage.
Tanizaki S, Maeda S, Sera M, Nagai H, Nakanishi T, Hayashi M, Azuma H, Kano KI, Watanabe H, Ishida H
Am J Emerg Med 2018 Dec;36(12):2172-2176. Epub 2018 Mar 21 doi: 10.1016/j.ajem.2018.03.058. PMID: 29602669
Pediatric abdominal and pelvic trauma: safety and efficacy of arterial embolization.
Vo NJ, Althoen M, Hippe DS, Prabhu SJ, Valji K, Padia SA
J Vasc Interv Radiol 2014 Feb;25(2):215-20. Epub 2013 Nov 16 doi: 10.1016/j.jvir.2013.09.014. PMID: 24252774
Hemorrhage in pelvic fractures does not correlate with fracture length.
Elzik ME, Dirschl DR, Dahners LE
J Trauma 2008 Aug;65(2):436-41. doi: 10.1097/TA.0b013e31817c5554. PMID: 18695482

Recent systematic reviews

Accuracy of Contrast Extravasation on Computed Tomography for Diagnosing Severe Pelvic Hemorrhage in Pelvic Trauma Patients: A Meta-Analysis.
Moon SN, Pyo JS, Kang WS
Medicina (Kaunas) 2021 Jan 12;57(1) doi: 10.3390/medicina57010063. PMID: 33445551Free PMC Article

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