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©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Jul 26, 2025; 13(21): 103786
Published online Jul 26, 2025. doi: 10.12998/wjcc.v13.i21.103786
Published online Jul 26, 2025. doi: 10.12998/wjcc.v13.i21.103786
Life-threatening vascular injury in an elderly patient with isolated pubic ramus fracture: A case report
Evangelos Sakellariou, Athanasios Galanis, Meletis Rozis, Dimitrios Zachariou, Iordanis Varsamos, Panagiotis Karampinas, Elias S Vasiliadis, John Vlamis, Spiros Pneumaticos, 3rd Department of Orthopaedic Surgery, KAT General Hospital, National & Kapodistrian University of Athens, Athens 14561, Greece
Evangelia Argyropoulou, Nicolaos Parchas, Department of Orthopaedics and Traumatology, University General Hospital of Patras, Patras 26504, Greece
Dimitrios Kalavrytinos, Department of Orthopaedic Surgery, 251 Air Force General Hospital, Athens 11525, Greece
Co-first authors: Evangelos Sakellariou and Evangelia Argyropoulou.
Author contributions: Sakellariou E, Argyropoulou E and Karampinas P designed research; Sakellariou E and Argyropoulou E performed research; Vlamis J, Varsamos I, Kalavrytinos D and Rozis M contributed analytic tools; Karampinas P, Parchas N, Vasiliadis ES and Pneumaticos S analyzed data; Sakellariou E, Argyropoulou E and Galanis A wrote the paper and; Zachariou D, Karampinas P acquisition funding. All authors have read and agreed to the published version of the manuscript. Sakellariou E and Argyropoulou E contributed equally to this work as co-first authors.
Informed consent statement: All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from the patient for being included in the study. The patient has signed a written consent form.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Evangelia Argyropoulou, MD, Department of Orthopaedics and Traumatology, University General Hospital of Patras, Rion 1, Patra 26504, Greece.
Received: December 3, 2024
Revised: February 20, 2025
Accepted: March 24, 2025
Published online: July 26, 2025
Processing time: 148 Days and 16.3 Hours
Revised: February 20, 2025
Accepted: March 24, 2025
Published online: July 26, 2025
Processing time: 148 Days and 16.3 Hours
Core Tip
Core Tip: Elderly patients with copious comorbidities, like diabetes mellitus and arterial hypertension, can potentially pose unique challenges in trauma management. Fragility fractures of the anterior pelvic ring are regarded as minor injuries, featuring rare complications. Hemodynamic monitoring is essential in management of these injuries. Fracture-associated occult vascular injuries are tremendously rare and can be fatal. The felicitous management of this case underlines the significance of multidisciplinary approach in the treatment of aged individuals with intricate past medical history. Continuous monitoring, timely diagnostic interventions, and pertinent therapeutic strategies are requisite in ensuring positive outcomes.