J Korean Soc Emerg Med.  2002 Mar;13(1):102-105.

A Case of Hypovolemic Shock Associated with Superior Gluteal Artery Rupture Without Pelvic Fracture in Blunt Trauma

• Lee SC
• Kim MC
• Ko YG

Abstract

Superior gluteal artery rupture without pelvic fracture is extremely rare, but the rupture of this vessel is a well-known complication of pelvic fractures. This vessel appears to be at risk at the time of pelvic fracture because of its vulnerable anatomical position in the sacrosciatic notch. The rupture of this vessel causes profound hypotension and compartment syndrome of the gluteal or thigh region. Embolization is the most effective treatment. We report an unusual case of a superior gluteal artery rupture without pelvic fracture in blunt trauma.

Keyword

Blunt trauma; Superior gluteal artery rupture; Hypovolemic shock; Compartment syndrome

MeSH Terms

Arteries*
Compartment Syndromes
Hypotension
Hypovolemia*
Rupture*
Shock*
Thigh