Management and Surgical Care of a Female Patient with Complex Pelvic Polytrauma

On examination under anesthesia, Female Pelvic Medicine and Reconstructive Surgery specialists found the bladder and urethra to be intact, allowing a transurethral Foley to be placed, however inferiorly displaced with a large communication into the abdominal cavity. With pelvic fracture, injury to hollow viscus organs, nerves, and vascular structures must be ruled out.2, 3 According to the management guidelines set by Collinge and Tornetta,4 early recognition and aggressive resuscitation are the critical first steps of management in an open pelvic fracture, followed by hemorrhage control and reduction of infection risk with administration of intravenous antibiotics and tetanus vaccine. Blood loss is most often from venous plexus and/or fractured and displaced bones. [...]arterial injury requiring embolization is less common, with only 10-20 per cent of cases of pelvic fracture with vascular damage involving an arterial bleed.