The Successful Treatment of a Patient with Multiple Injuries, Including Unstable Thoracic Cage and Pelvic Fracture
Journal Title: Scholars Journal of Medical Case Reports - Year 2017, Vol 5, Issue 10
Abstract
Abstract:A 56-year-old man on a motorcycle ran into a car that had swerved into the oncoming traffic lane in order to pass another car on a mountain path in the Izu peninsula. He was evacuated by a physician-staffed helicopter. On arrival, as he had severe hemorrhagic hypotension, he received urgent transfusions, tracheal intubation and cannulation into the femoral artery for trans-arterial embolization. Whole-body computed tomography (CT) revealed multiple injuries, including unstable thoracic cage and pelvic fracture. Extravasation of contrast medium was observed just at the retroperitoneal space at the pelvis. Urgent trans-arterial embolization for unstable pelvic fracture was executed, followed by external fixation for the fractures. After obtaining stable circulation and respiration by intensive care, he underwent stabilization of thoracic spine and internal fixation for his unstable pelvic fracture separately. Finally, he was transferred to his local medical facility for rehabilitation. This is the first case of the successful recovery a patient who had multiple lethal injuries, including a combination of unstable thoracic cage and pelvic fracture. A multidisciplinary approach, including resuscitation based on the polytrauma guideline and a hospital-tailored treatment protocol, and team dynamics conducted by trained emergency physicians were key to obtaining a survival discharge. Keywords:unstable thoracic cage fracture; unstable pelvic fracture; outcome
Authors and Affiliations
Kei Jitsuiki, Youichi Yanagawa, Rhosuke Takahashi, Akira Itoi, Tamaki Matsunami, Ikuto Takeuchi, Akihiko Kondo, Atsuhiko Mogami
Keywords
Related Articles
- EP ID EP379609
- DOI -
- Views 72
- Downloads 0
Homicidal Choking ─ A Case Report
Abstract: Choking is a form of asphyxia caused by obstruction within the airways, usually between the pharynx and bifurcation of trachea. The individual develops hoarseness, respiratory difficulty and then suddenly colla...
Giant Dermoid Cyst in the Nasal Bridge Region Developing Over 12 Years
Conventional dermoid cysts are generally small, slow-growing, non-tender, dome-shaped lesions. Although dermoid cyst is congenital, this patient gives no history of swelling before 12 years. A dermoid cyst is usually asy...
Severe evolution of Thevenard's disease: Case report
Thévenard's disease is a rare familial ulceromutilative acropathy of autosomal dominant inheritance. It starts at the level of the feet where it remains the most often the only manifestation, to extend exceptionally and...
Ketoacidosis Diabetic Revealing Multiple Splenic Abscesses: A Case Report
The mechanisms of immune defenses in diabetics are reduced. The hyperglycemic environment, poor circulations are factors that promote immune dysfunction and infections. The spleen is an uncommon site of abscess formation...
Bilateral Synchronous Tonsillar Carcinoma-A Case Report
Abstract: Synchronous bilateral tonsillar carcinoma is a rare entity and this case report presents one such case which was treated with radical radiation therapy. Keywords: Tonsillar carcinoma, Bilateral, synchronous