Bladder necrosis secondary to internal iliac artery embolization following pelvic fracture.
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.
['Ali|Ahmed|A|', 'Nabi|Ghulam|G|', 'Swami|Satchi|S|', 'Somani|Bhaskar|B|']
Bladder necrosis internal iliac artery embolization pelvic fracture