<b><span>Background:</span></b><span> Corona Mortis is an abnormal blood vessels connecti</span><span>ng</span><span> Between obturator and external iliac systems ...<b><span>Background:</span></b><span> Corona Mortis is an abnormal blood vessels connecti</span><span>ng</span><span> Between obturator and external iliac systems of vessels and inferior epigastric vessels. It is located behind the superior public ramus at a variable distance from the symphysis pubis. Orthopaedic surgeons and obestitrtion found these vessels in the field of surgery. So displaced fractures or iatrogenic injury, can cause life threatening bleeding and hence these vascular anomalies are referred to us crown of death. The bulk of the studies about the corona mortise were conducted in the cadavers or </span><b><span>3D</span></b><span> </span><b><span>CT</span></b><span> angiography and there</span><span> was</span><span> no studies were conducted about corona mortise in Sudan. The purpose of this study was to study the corona mortis anatomical and clinical implication in the anterior approaches to the pelvis and acetabulum in Sudanese patient. </span><b><span>Methodology:</span></b><span> Hospital based descriptive cross-sectional study was conducted among patients sustaining anterior pelvic anterior acetabulum fracture and underwent open reduct</span><span>i</span><span>on internal fixation by reconstruction plates. This study was conducted in Bahri Teaching Hospital from June 2017 to June 2018. Through the most common anterior approaches to the pelvis and acetabulum (Stoppa-modified stoppa-ilioinguinal), done by single surgeon and fulfil data sheet intra</span><span>-</span><span>operatively.</span><span> </span><b><span>Results:</span></b><span> In a total of 30 pelvic halves coro</span><span>na mortis was detected in 13 patients (43%).The Majority in the</span><span> Rt.hemipelvies 7</span><span> </span><span>(53.8%) specimens: arterial 4</span><span>/</span><span>13 (30.8%), venous 1</span><span>/</span><span>13 (7.7%) and both arterial and venous in 8</span><span>/</span><span>13 (61.5%) specimens respectively.</span><span> </span><span>Of these (53.9%) had a large Diameter ></span><span> </spa展开更多
患者,男,88岁,不慎从约1 m高的楼梯上摔下,伤后即感右髋剧烈疼痛,并且出现站立行走困难,遂被送至当地医院就诊。当地医院最初评估血流动力学相对稳定(血压169/88 mm Hg,心率100次/分),右侧耻骨支压痛阳性,术前骨盆正位X线片提示右侧单...患者,男,88岁,不慎从约1 m高的楼梯上摔下,伤后即感右髋剧烈疼痛,并且出现站立行走困难,遂被送至当地医院就诊。当地医院最初评估血流动力学相对稳定(血压169/88 mm Hg,心率100次/分),右侧耻骨支压痛阳性,术前骨盆正位X线片提示右侧单纯的耻骨上支骨折(图1a)。3 h后因下腹部肿物胀痛、进行性少尿、心动过速(110次/分)、血压进行性下降(81/56 mm Hg)并出现休克急诊转至我院。转入我院后,急诊给予吸氧、心电图监护、导尿、输血补液等支持性治疗。展开更多
文摘<b><span>Background:</span></b><span> Corona Mortis is an abnormal blood vessels connecti</span><span>ng</span><span> Between obturator and external iliac systems of vessels and inferior epigastric vessels. It is located behind the superior public ramus at a variable distance from the symphysis pubis. Orthopaedic surgeons and obestitrtion found these vessels in the field of surgery. So displaced fractures or iatrogenic injury, can cause life threatening bleeding and hence these vascular anomalies are referred to us crown of death. The bulk of the studies about the corona mortise were conducted in the cadavers or </span><b><span>3D</span></b><span> </span><b><span>CT</span></b><span> angiography and there</span><span> was</span><span> no studies were conducted about corona mortise in Sudan. The purpose of this study was to study the corona mortis anatomical and clinical implication in the anterior approaches to the pelvis and acetabulum in Sudanese patient. </span><b><span>Methodology:</span></b><span> Hospital based descriptive cross-sectional study was conducted among patients sustaining anterior pelvic anterior acetabulum fracture and underwent open reduct</span><span>i</span><span>on internal fixation by reconstruction plates. This study was conducted in Bahri Teaching Hospital from June 2017 to June 2018. Through the most common anterior approaches to the pelvis and acetabulum (Stoppa-modified stoppa-ilioinguinal), done by single surgeon and fulfil data sheet intra</span><span>-</span><span>operatively.</span><span> </span><b><span>Results:</span></b><span> In a total of 30 pelvic halves coro</span><span>na mortis was detected in 13 patients (43%).The Majority in the</span><span> Rt.hemipelvies 7</span><span> </span><span>(53.8%) specimens: arterial 4</span><span>/</span><span>13 (30.8%), venous 1</span><span>/</span><span>13 (7.7%) and both arterial and venous in 8</span><span>/</span><span>13 (61.5%) specimens respectively.</span><span> </span><span>Of these (53.9%) had a large Diameter ></span><span> </spa
文摘患者,男,88岁,不慎从约1 m高的楼梯上摔下,伤后即感右髋剧烈疼痛,并且出现站立行走困难,遂被送至当地医院就诊。当地医院最初评估血流动力学相对稳定(血压169/88 mm Hg,心率100次/分),右侧耻骨支压痛阳性,术前骨盆正位X线片提示右侧单纯的耻骨上支骨折(图1a)。3 h后因下腹部肿物胀痛、进行性少尿、心动过速(110次/分)、血压进行性下降(81/56 mm Hg)并出现休克急诊转至我院。转入我院后,急诊给予吸氧、心电图监护、导尿、输血补液等支持性治疗。
