Emmanuel Javier Reyes MD, Presenter: Nothing to Disclose

Suzanne T. Chong MD, Abstract Co-Author: Nothing to Disclose

Jonathan Myles Gardiner Willatt MBChB, Abstract Co-Author: Nothing to Disclose

Ania Zofia Kielar MD, Abstract Co-Author: Nothing to Disclose

Jon A. Jacobson MD, Abstract Co-Author: Consultant, BioClinica, Inc Royalties, Reed Elsevier Equipment support, Terumo Corporation Equipment support, Arthrex, Inc

Review osseous, vascular, and genitourinary (bladder and urethral) injuries that occur in acute pelvic trauma Describe imaging tests such as MDCT, CT cystogram, and retrograde urethrogram used in the evaluation of pelvic traumatic injuries Review classification of pelvic fractures and bladder and urethral injuries and implications for clinical management Discuss the critical role of interventional radiology  

Acute pelvic trauma can result in pelvic fractures and soft tissue injuries due to high-energy mechanisms. Imaging plays an important role in identifying injuries that can be life-threatening and may need to be managed by a multidisciplinary team. A 10-year search of the radiology information system for pelvic trauma yielded 900 cases that were reviewed for this exhibit. In this exhibit, pelvic ring fractures, vascular injuries, and bladder and urethral injuries are reviewed including mechanism of injury, imaging appearance and implications for management. The most appropriate imaging tests are discussed including CT cystogram and retrograde urethrogram. The role of interventional radiology in the management of acute pelvic trauma is discussed. After reviewing this exhibit, a radiologist will have a global and in-depth understanding of acute pelvic trauma and the myriad of injuries that can be sustained.

http://abstract.rsna.org/uploads/2014/14018942/14018942_3h5r.pdf

Reyes, E, Chong, S, Willatt, J, Kielar, A, Jacobson, J, Broken Bones, Bleeding Vessels, and Leaking Bladders: A Comprehensive Review of Acute Pelvic Trauma.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14018942.html