[ORT-L] A-V fistula following pelvi-acetabular fractures.


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[ORT-L] A-V fistula following pelvi-acetabular fractures.

ti.george at gmail
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Jan 12, 2008, 10:12 AM

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[ORT-L] A-V fistula following pelvi-acetabular fractures.	Can't Post

Group,

Will be interested to have your experience on this.

We had a patient involved in a high velocity road accident and brought
to hospital in shock within 20 minutes. Resuscitated with fluids,
blood, mechanical ventilation etc. Required inotropic support for a
short time. Total blood transfusion was over 20 units.
The injuries included pelvi-acetabular fractures, liver tear, chest
injuries etc. Managed non-operatively due to the extremely unstable
haemo-dynamic status secondary to the injuries. Patient later
developed pulmonary embolism and had to be put on therapeutic
anti-coagulation.

Now almost 5 months down the line and a Doppler study of the lower
limb suggest features of AV-fistula. Now awaiting further vascular
studies.

Has anyone encountered A-V fistula formation following
pelvi-acetabular fractures? Any reports of the same?

Dr. T. I. George.
(Dr George T Ittoop,)
Sr Specialist, Orthopaedics,
Ibra Regional Hospital,
PO Box no: 3,
Postal code 413.
North Sharquia Region,
Sultanate of Oman.
Cell phone no: 968 95825197
Land phone no: 968 25587087
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