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CASE REPORT
Year : 2014  |  Volume : 6  |  Issue : 2  |  Page : 166-168

Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture


1 Department of Urology, University Hospitals Southampton NHS Trust, Southampton, United Kingdom
2 Ninewells Hospital Dundee and University of Dundee, Dundee, United Kingdom
3 Aberdeen Royal Infirmary, Aberdeen, United Kingdom

Correspondence Address:
Ahmed Ali
University Hospitals Southampton NHS Trust, Southampton
United Kingdom
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DOI: 10.4103/0974-7796.130657

PMID: 24833834

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A 49-year-old man following a road traffic accident (RTA) had an unstable pelvic fracture with urethral injury. Internal pelvic fixation with Supra-pubic catheter (SPC) drainage of his bladder was done. This failed to stop the bleeding and a pelvic angiography with bilateral internal iliac embolization using steel coils was performed successfully controlling the bleeding. After 4 weeks, the patient developed wound infection (Clavien Grade III) and on exploration, bladder necrosis was found. A urinary diversion using ileal conduit with excision of bladder was performed. A biopsy of the excised bladder confirmed bladder necrosis with a foreign material (coil) in one arterial lumen.


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