Resumo

PECORA, Matías; SANDE, Leonardo; LANGLEIB, Marcelo  e  BIESTRO, Alberto. First report of hypogastric arteries angioembolization within the context of pelvic trauma in Uruguay. Rev. Méd. Urug. [online]. 2022, vol.38, n.2, e704.  Epub 01-Jun-2022. ISSN 0303-3295.  https://doi.org/10.29193/rmu.38.2.12.

Pelvic trauma is an extremely severe condition accounting for high mortality rates, and is the first cause of death in persistent hemorrhagic shock, secondary to several sources of bleeding, such as bone, viscera and mainly veins and arteries. Initial measures aim to reduce the volume of the pelvic cavity and to restore hemostasis. In recent years, growing evidence supports the use of angioembolization in the handling of these patients.

The study presents, through a clinical case, the first report in Uruguay of non-selective angioembolization of both hypogastric arteries in the handling of severe pelvic trauma. We will discuss the pathophysiology of severe pelvic trauma through a clinical case, mainly in terms of indications, results and complications of angioembolization.

Palavras-chave : Pelvic trauma; Angioembolization; Hypogastric arteries; First report; Uruguay.

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