J Korean Soc Traumatol.  2014 Dec;27(4):211-214. 10.0000/jti.2014.27.4.211.

Left Common Iliac Artery Rupture due to Hidden Blunt Trauma (Suspected Dildo-Masturbation Injury via Endovagina): A Case Report

Affiliations
  • 1Department of Emergency Medicine, University of Ulsan College of Medicine, Regional Trauma Center, Ulsan University Hospital, Ulsan, Korea. skdosada@uuh.ulsan.kr

Abstract

A 34-year-old woman experienced a sudden cardiac arrest after complaining of abdominal pain. The cause of that serious event was a hidden hemorrhagic shock. On computed tomography of her pelvic area, we found that her left common iliac artery had been ruptured. No bone fractures were observed. Her angiography showed neither atherosclerosis nor an aneurysm of the artery. Because spontaneous ruptures of the common iliac artery are rare, we suspected, based on her husband's statement, that a hidden blunt trauma to the artery had occurred via an endo-vaginal route due to dildo masturbation. Unfortunately, she died without recovery, in spite of our having controlled the bleeding by using an angiographic endovascular stent-graft.

Keyword

Common iliac artery rupture; Hidden blunt trauma; Cardiac arrest; Masturbation injury

MeSH Terms

Abdominal Pain
Adult
Aneurysm
Angiography
Arteries
Atherosclerosis
Death, Sudden, Cardiac
Female
Fractures, Bone
Heart Arrest
Hemorrhage
Humans
Iliac Artery*
Masturbation
Rupture*
Rupture, Spontaneous
Shock, Hemorrhagic
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