What is the immediate Risk to this patient?
3 Likes
Given the scenario, the immediate risk to the patient is likely severe blood loss. The image indicates facial injuries and a car accident, suggesting potential damage to major blood vessels. The corona mortis, as highlighted in the diagram, is a vessel that can bleed significantly if damaged. The external iliac and obturator arteries are also critical.
Severe blood loss can lead to hypovolemic shock, which can be life-threatening if not treated immediately.
The immediate risk is severe blood loss.
2 Likes
Here the image shows a trauma patient in a RTA.
The immediate risk to the patient is massive hemorrhage.
Corona mortis is an important anatomical variant.
It is important because it may not be easily identified during surgical exploration, increasing the risk of uncontrolled bleeding.
And it lies near the pubic symphysis, which is a common fracture site in road traffic accident.
3 Likes
Makes sense! Thanks
Pelvic Fracture with Potential Corona Mortis Injury.
The immediate risk to this patient is life-threatening internal bleeding due to rupture of the corona mortis, an arterial anastomosis between the obturator artery and the external iliac or inferior epigastric artery. In high-impact pelvic trauma, such as in car accidents, this vessel is prone to injury, especially with pubic ramus fractures. Since bleeding is retroperitoneal, it may not be immediately visible but can rapidly lead to hemorrhagic shock, requiring urgent imaging and intervention such as angioembolization or surgical control to prevent fatality.
The immediate risk to this patient is massive hemorrhage, likely due to trauma to the pelvis involving injury to the corona mortis — a vascular anastomosis between the external iliac and obturator arteries.
It’s also known as the “crown of death” due to the significant risk of bleeding if damaged.