CASE
A 56-year-old male patient who had no prior medical history was admitted with blunt trauma via the emergency room. Upon admission, he had evidence of shock with fluid collection on the abdominal ultrasound and unstable pelvic fracture. Also, he had multiple fractures of the transverse process of the lumbar spine, a skull base fracture, a temporal bone fracture, and multiple rib fractures. We planned an emergency operation in a hybrid operating room for angioembolization. The preperitoneal pelvic packing was completed first followed by angioembolization of the internal iliac artery and the internal maxillary artery branch. Finally, an external fixation of the pelvis was performed. After 2 days, tape and bandages were removed from the area. The patient recovered and received rehabilitation treatment without any further complications.
DISCUSSION
A pelvic bone fracture with the patient in a hemodynamically unstable status must be managed with surgery and angioembolization using a hybrid operating room. A hybrid operation room offers tremendous potential to expedite hemorrhage control in trauma patients [
1]. Hybrid trauma operating and resuscitation rooms are the obvious solution to providing the best multi-modality trauma care for those exsanguinating [
2].