Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지

Left Common Iliac Artery Rupture due to Hidden Blunt Trauma (Suspected Dildo-Masturbation Injury via Endovagina): A Case Report

내재된 둔상으로 인한 좌측 총 장골동맥 파열에 따른 출혈성 심정지 (질 내 경로를 통한 자위 행위로 인한 손상 의심): 증례보고

  • Kyoung, Kyu Hyouck (Department of Emergency Medicine, University of Ulsan College of Medicine, Regional Trauma Center, Ulsan University Hospital) ;
  • Kim, Mi Jin (Department of Emergency Medicine, University of Ulsan College of Medicine, Regional Trauma Center, Ulsan University Hospital) ;
  • Choi, Byung Ho (Department of Emergency Medicine, University of Ulsan College of Medicine, Regional Trauma Center, Ulsan University Hospital) ;
  • Hong, Jung Seok (Department of Emergency Medicine, University of Ulsan College of Medicine, Regional Trauma Center, Ulsan University Hospital) ;
  • Hong, Eun Seog (Department of Emergency Medicine, University of Ulsan College of Medicine, Regional Trauma Center, Ulsan University Hospital)
  • 경규혁 (울산대학교 의과대학 울산대학교병원 권역외상센터) ;
  • 김미진 (울산대학교 의과대학 울산대학교병원 권역외상센터) ;
  • 최병호 (울산대학교 의과대학 울산대학교병원 권역외상센터) ;
  • 홍정석 (울산대학교 의과대학 울산대학교병원 권역외상센터) ;
  • 홍은석 (울산대학교 의과대학 울산대학교병원 권역외상센터)
  • Received : 2014.10.17
  • Accepted : 2014.11.08
  • Published : 2014.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

A 34-year-old woman experienced a sudden cardiac arrest after complaining of abdominal pain. The cause of that serious event was a hidden hemorrhagic shock. On computed tomography of her pelvic area, we found that her left common iliac artery had been ruptured. No bone fractures were observed. Her angiography showed neither atherosclerosis nor an aneurysm of the artery. Because spontaneous ruptures of the common iliac artery are rare, we suspected, based on her husband's statement, that a hidden blunt trauma to the artery had occurred via an endo-vaginal route due to dildo masturbation. Unfortunately, she died without recovery, in spite of our having controlled the bleeding by using an angiographic endovascular stent-graft.

Keywords

References

  1. Muck PE, Nunez TC, Hruska L, Kasper GC, Chang CK, Welling RE. Blunt injury to the external iliac artery: a case report. Am Surg 2001; 68: 11-4.
  2. Asensio JA, Chahwan S, Hanpeter D, Demetriades D, Forno W, Gambaro E. et al. Operative management and outcome of 302 abdominal vascular injuries. Am J Surg 2000; 180: 528-33. https://doi.org/10.1016/S0002-9610(00)00519-5
  3. Lyden SP, Srivastava SD, Waldman DL, Green RM. Common iliac artery dissection after blunt trauma: a case report of endovascular repair and a literature review. J Trauma 2001; 50: 339-42. https://doi.org/10.1097/00005373-200102000-00024
  4. Abayazeed A, Hayman E, Moghadamfalahi M, Cain D. Vascular type Ehlers-Danlos Syndrome with fatal spontaneous rupture of a right common iliac artery dissection: case report and review of literature. J Radiol Case Rep 2014; 8: 63-9. https://doi.org/10.1186/1752-1947-8-63
  5. Patra S, Singh AP, Srinivas BC. Marfan syndrome with spontaneous rupture of aneurysm of common iliac artery. Indian Pediatr 2013; 50: 507-8.
  6. Honjo O, Yamada Y, Kuroko Y, Kushida Y, Une D, Hioki K. Spontaneous dissection and rupture of common iliac artery in a patient with fibromuscular dysplasia: a case report and review of the literature on iliac artery dissections secondary to fibromuscular dysplasia. J Vasc Surg 2004; 40: 1032-6. https://doi.org/10.1016/j.jvs.2004.08.020
  7. Ramaiah KS, Kumar S. Vesicovaginal fistula following masturbation managed conservatively. Aust NZ J Obstet Gynaecol 1998; 38: 476-6.
  8. Izgarevic D, Seblini M, Zerbib P. Rupture of the Common Iliac Artery Following Anal Sex. Acta Chir Belg 2010; 110: 101-2. https://doi.org/10.1080/00015458.2010.11680578
  9. Nyman U, Uher P, Lindh M, Lindbland B, Brunkwall J, Ivancev K. Stent-graft treatment of iatrogenic iliac artery perforations: a report of three cases. Eur J Vas Endovasc Surg 1999; 17: 259-63. https://doi.org/10.1053/ejvs.1998.0589