Intrapelvic Hematoma Following Low-Energy Osteoporotic Pubic Ramus Fracutre: A Rare Case Report

Abstract

Osteoporotic pelvic fractures are common in the elderly and most often treated with pain management and mobilization. Pelvic hemorrhage rarely occurs but can prove life-threatening. An 86-year-old woman was admitted in the emergency department due to a fall from own height and sustained a displaced fracture of the superior ramus of the pubic bone. The patient presented with decreasing low blood pressure and tachycardia, and a CT-scan revealed an intraperitoneal bleed and pelvic hematoma. She was treated with intravenous fluids, fibrinolytic inhibitors and monitoring in the intensive care unit. A renewed CT-scan showed no active bleeding.