Urology Annals

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

Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture


Ahmed Ali1, Ghulam Nabi2, Satchi Swami3, Bhaskar Somani1 
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

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.


How to cite this article:
Ali A, Nabi G, Swami S, Somani B. Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture.Urol Ann 2014;6:166-168


How to cite this URL:
Ali A, Nabi G, Swami S, Somani B. Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture. Urol Ann [serial online] 2014 [cited 2020 Sep 22 ];6:166-168
Available from: http://www.urologyannals.com/article.asp?issn=0974-7796;year=2014;volume=6;issue=2;spage=166;epage=168;aulast=Ali;type=0