Dataset Information

False negative computed tomography scan due to pelvic binder in a patient with pelvic disruption: a case report and review of the literature.

ABSTRACT:

Background

Pelvic binders are routinely used in the prehospital setting for stabilization of pelvic injuries in patients with trauma. Emergency department trauma management relies on primary and secondary survey assessment and imaging, most often computed tomography, in hemodynamically stable patients. Maintaining the pelvic binder in situ allows stabilization of pelvic injuries during imaging but may hinder the visualization of some pelvic lesions. We report a very rare case of severe pelvic disruption with an absolutely normal computed tomography scan due to the effective placement of a pelvic binder.

Case presentation

We report the case of a 49-year-old Caucasian man referred to our Emergency Department after a high velocity motorcycle accident. Primary assessment revealed a left wrist deformation and pelvic pain, and a pelvic binder was applied by paramedics. A total body computed tomography scan was performed after arrival in our Emergency Department and did not reveal any pelvic injury. The pelvic binder was removed and because of persisting symphyseal pain, pelvic plain radiography was performed revealing a pelvic disruption with an opening of the pubic symphysis and of the left sacroiliac joint ("open book" type pelvic injury) requiring surgical stabilization.

Conclusions

Pelvic binders may mask pelvic disruption in patients with trauma. Pelvic plain radiography should be repeated after pelvic binder removal in patients with high velocity trauma and pelvic symptoms or neurological alterations limiting the reliability of clinical examination.

SUBMITTER: Jamme S

PROVIDER: S-EPMC6149070 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature

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Publications

False negative computed tomography scan due to pelvic binder in a patient with pelvic disruption: a case report and review of the literature.

Jamme Sharon S Poletti Alexandre A Gamulin Axel A Rutschmann Olivier O Andereggen Elisabeth E Grosgurin Olivier O Marti Christophe C

Journal of medical case reports 20180921 1

<h4>Background</h4>Pelvic binders are routinely used in the prehospital setting for stabilization of pelvic injuries in patients with trauma. Emergency department trauma management relies on primary and secondary survey assessment and imaging, most often computed tomography, in hemodynamically stable patients. Maintaining the pelvic binder in situ allows stabilization of pelvic injuries during imaging but may hinder the visualization of some pelvic lesions. We report a very rare case of severe p ...[more]

PMID: 30236156

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Dataset Information

False negative computed tomography scan due to pelvic binder in a patient with pelvic disruption: a case report and review of the literature.

Background

Case presentation

Conclusions

Publications

False negative computed tomography scan due to pelvic binder in a patient with pelvic disruption: a case report and review of the literature.

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