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J Korean Soc Emerg Med > Volume 13(1); 2002 > Article
Journal of The Korean Society of Emergency Medicine 2002;13(1): 102-105.
A Case of Hypovolemic Shock Associated with Superior Gluteal Artery Rupture Without Pelvic Fracture in Blunt Trauma
Seung Chul Lee, Myung Chun Kim, Young Gwan Ko
Department of Emergency Medicine, Kyung Hee University, Seoul, Korea. edkmc@chollian.net
ABSTRACT
Superior gluteal artery rupture without pelvic fracture is extremely rare, but the rupture of this vessel is a well-known complication of pelvic fractures. This vessel appears to be at risk at the time of pelvic fracture because of its vulnerable anatomical position in the sacrosciatic notch. The rupture of this vessel causes profound hypotension and compartment syndrome of the gluteal or thigh region. Embolization is the most effective treatment. We report an unusual case of a superior gluteal artery rupture without pelvic fracture in blunt trauma.
Key words: Blunt trauma, Superior gluteal artery rupture, Hypovolemic shock, Compartment syndrome
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