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<p>The superior gluteal artery is particularly at risk in pelvic fractures and surgical procedures. We report on a&#xa0;74-year-old male patient with an unstable pelvic ring fracture, initially treated with an external fixator and bilateral sacroiliac (SI) screws. Postoperatively, persistently elevated inflammatory markers and a&#xa0;persistently low hemoglobin level suggested a&#xa0;hematoma most likely from an iatrogenic cause. Computed tomography (CT) imaging confirmed a&#xa0;2 × 3 cm pseudoaneurysm of the superior gluteal artery. Hemostasis was successfully achieved through thrombin injection, hematoma evacuation and ligation. This case highlights that careful preoperative planning, detailed knowledge of vascular anatomy and early attention to laboratory parameters are essential for the prevention and detection of vascular injuries during SI screw implantation.</p>

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Gefäßkomplikation bei Beckenringstabilisierung

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2026年6月30日

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  • Anna L. Schiltenwolf,
  • Christof K. Audretsch,
  • Tina Histing,
  • Steven C. Herath,
  • Markus A. Küper

摘要

The superior gluteal artery is particularly at risk in pelvic fractures and surgical procedures. We report on a 74-year-old male patient with an unstable pelvic ring fracture, initially treated with an external fixator and bilateral sacroiliac (SI) screws. Postoperatively, persistently elevated inflammatory markers and a persistently low hemoglobin level suggested a hematoma most likely from an iatrogenic cause. Computed tomography (CT) imaging confirmed a 2 × 3 cm pseudoaneurysm of the superior gluteal artery. Hemostasis was successfully achieved through thrombin injection, hematoma evacuation and ligation. This case highlights that careful preoperative planning, detailed knowledge of vascular anatomy and early attention to laboratory parameters are essential for the prevention and detection of vascular injuries during SI screw implantation.