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Superior gluteal artery injury presenting as delayed onset shock
Archives of Orthopaedic and Trauma Surgery, 06/19/09
Zhang Q et al. - The authors present two such cases due to initial blunt buttock trauma combined with an anterior pelvic ring fracture and a L2 spine fracture which resulted in delayed massive bleeding from the SGA. Delayed arterial bleeding should be considered in late onset shock associated with pelvic or lumbar vertebrae body fractures or direct buttock injury. If active bleeding is suspected, urgent arteriography with embolization is the treatment of choice.
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