Injuries of pelvic blood vessels in pelvic instable fractures and dislocations in patients with combined trauma

Abstract

Retrospective study of medicolegal data and case histories of 20 victims with combined pelvic trauma and blood vessels injuries are presented. In 20 victims 28 vessels were damaged: in 3 cases presacral venous plexus and in 17 cases 25 main blood vessels (14 veins and 11 arteries) were injured. Basing on the analysis of relationship between trauma mechanism, peculiarities of X-ray data and clinical manifestation the author detects a symptom complex named diagnostic triad that allows to diagnose the main pelvic vessels damage and perform surgical intervention. Recommendations concerning victim examination, treatment tactics, time for revision intervention on vessels and inner organs are given. This operation should be performed by special surgical team.