Unfallbedingte Notfälle bei Schwangerschaft – Fallbeispiel mit Beckenfraktur und Notsectio

OP-Journal ◽  
2021 ◽  
Author(s):  
Sofia Kilgus ◽  
Frederik Maximilian Schäfer ◽  
Ulrich Stöckle ◽  
Sven Märdian
Keyword(s):  
Corona Mortis

ZusammenfassungDie Versorgung von unfallbedingten Notfällen in der Schwangerschaft gehört selbst in überregionalen Traumazentren nicht zur täglichen Routine. Wir präsentieren den Fall einer 27 Jahre alten, nicht vorerkrankten Polytraumapatientin in der 30. Schwangerschaftswoche. Die führende Verletzung war eine Beckenfraktur mit spinopelviner Dissoziation und kreislaufrelevanter, intrapelviner Blutung. Durch ein konsequentes Polytraumamanagement, notfallmäßige Sectio, Ligatur der Corona mortis, Packing und operative Frakturstabilisierung des Beckens konnte das Leben der Mutter und des Kindes gerettet werden.

Étude anatomique de la corona mortis : prévalence, morphologie et localisation

Morphologie ◽  
2019 ◽  
Vol 103 (342) ◽  
pp. 95
Author(s):  
Guillaume Cavalié ◽  
Emilie Perez ◽  
Marion Pauty ◽  
Alexandre Bellier ◽  
Marc Prod’homme ◽  
...  
Keyword(s):  
Corona Mortis

scholarly journals Incarcerated obturator hernia-laparoscopic repair with intraoperative view of the corona mortis

2014 ◽  
Vol 2014 (8) ◽  
pp. rju081-rju081 ◽  
Author(s):  
M. Ramser ◽  
A. S. Messmer ◽  
I. Zbinden ◽  
U. Von Holzen ◽  
C. A. Nebiker
Keyword(s):  
Laparoscopic Repair ◽  
Obturator Hernia ◽  
Corona Mortis ◽  
Incarcerated Obturator Hernia

scholarly journals The Anatomical Characteristics of Corona Mortis: A Systematic Review of the Literature and Its Clinical Importance in Hernia Repair

2020 ◽  
Vol 12 (2) ◽  
pp. 108-114 ◽  
Author(s):  
George Noussios ◽  
Nikiforos Galanis ◽  
Iosif Chatzis ◽  
Sergios Konstantinidis ◽  
Eva Filo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Hernia Repair ◽  
Clinical Importance ◽  
Review Of The Literature ◽  
Anatomical Characteristics ◽  
Corona Mortis

scholarly journals Corona mortis in Thai

2006 ◽  
Vol 20 (4) ◽  
Author(s):  
Miss Malivalaya Namking ◽  
Worawut Woraputtaporn ◽  
Malee Buranarugsa ◽  
Malinee Kerdkoonchorn
Keyword(s):  
Corona Mortis

scholarly journals Anatomy of Corona Mortis: A High Risk Yet Rare Lesson for Medical Students

2021 ◽  
Vol 35 (S1) ◽  
Author(s):  
Varna Taranikanti ◽  
Majd Faraj ◽  
Josh France
Keyword(s):  
Medical Students ◽  
High Risk ◽  
Corona Mortis

Corona mortis: An anatomical study with clinical implications in approaches to the pelvis and acetabulum

2007 ◽  
Vol 20 (4) ◽  
pp. 433-439 ◽  
Author(s):  
S. Darmanis ◽  
A. Lewis ◽  
A. Mansoor ◽  
M. Bircher
Keyword(s):  
Anatomical Study ◽  
Clinical Implications ◽  
Corona Mortis

scholarly journals Corona Mortis : anatomical and surgical description on 60 cadaveric hemipelvises

2017 ◽  
Vol 44 (6) ◽  
pp. 553-559 ◽  
Author(s):  
TÚLIO FABIANO DE OLIVEIRA LEITE ◽  
LUCAS ALVES SARMENTO PIRES ◽  
KIYOSHI GOKE ◽  
JÚLIO GUILHERME SILVA ◽  
CARLOS ALBERTO ARAUJO CHAGAS
Keyword(s):  
Femoral Artery ◽  
Internal Iliac Artery ◽  
Exceptional Case ◽  
Acetabular Fractures ◽  
Severe Bleeding ◽  
Obturator Artery ◽  
Corona Mortis ◽  
Internal Iliac ◽  
Vascular Connections ◽  
Digital Caliper

ABSTRACT Objective: to report the prevalence of arterial corona mortis and to describe its surgical and clinical applicabilities. Methods: We dissected 60 hemipelvises (50 men and 10 women) fixed in a 10% formalin solution for the purpose of gathering information on corona mortis. We measured the caliber and length of the obturator artery and its anastomotic branch with the aid of a digital caliper and submitted the data to statistical analyzes and comparisons with the GraphPad Prism 6 software. Results: arterial corona mortis was present in 45% of the studied sample. The most common origin of the obturator artery was the internal iliac artery; however, there was one exceptional case in which it originated from the femoral artery. The caliber of the anastomotic branch was on average 2.7mm, whereas the caliber of the obturator artery was 2.6mm. Conclusion: the vascular connections between the obturator, internal iliac, external iliac and inferior epigastric arterial systems are relatively common over the upper pubic branch. The diameter and a trajectory of the anastomotic artery may vary. Thus, iatrogenic lesions and pelvic and acetabular fractures can result in severe bleeding that puts the patient’s life at risk.

Hemorrhage Secondary to Pelvic Fracture: Coil Embolization of an Aberrant Obturator Artery

2003 ◽  
Vol 10 (3) ◽  
pp. 676-680 ◽  
Author(s):  
Bernd Daeubler ◽  
Suzanne E. Anderson ◽  
Michael Leunig ◽  
Jürgen Triller
Keyword(s):  
Iliac Artery ◽  
Coil Embolization ◽  
Internal Iliac Artery ◽  
Pelvic Ring ◽  
External Iliac Artery ◽  
Vascular Anomaly ◽  
Abdominal Ultrasound ◽  
Obturator Artery ◽  
Corona Mortis ◽  
Internal Iliac

Purpose: To describe the anatomical variations of the corona mortis, a vascular anomaly that may lead to dangerous hemorrhage and possible death. Case Report: A 46-year-old male cyclist was involved in a collision with a car, during which he sustained fractures to the left ribs and pelvic ring. Abdominal ultrasound imaging demonstrated a large (12×6×7 cm) nonhomogeneous mass ventral to the bladder, suggestive of a hematoma, which was confirmed on computed tomography. During angiography, 2 branches of the internal iliac artery were identified as sources of the bleeding; these were successfully embolized with microcoils, but the bleeding continued. Examination of the external iliac system found a lacerated aberrant obturator artery arising from the inferior epigastric branch of the external iliac artery, a condition known as the corona mortis. Additional embolization quelled the hemorrhage. Conclusions: Coil embolization of the internal iliac artery branches is very effective in managing hemorrhage due to pelvic fractures, but variations in the origin of the obturator artery from the internal or external iliac artery may be additional sources of bleeding.

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