PMC6644275_01
Portable radiograph of the pelvis. There is severe diastasis of the pubic symphysis, avulsion of the left superior pubic ramus, and separation of the left sacroiliac joint.
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Preliminary radiographic examinations showed severe diastasis of the symphysis pubis, avulsion fracture of the medial aspect of the left superior pubic ramus, and separation of the left sacroiliac joint (Figure 1).
Right external iliac arteriogram. (a) The early phase demonstrates a right corona mortis (arrow) originating from the inferior epigastric artery. (b) Delayed imaging reveals active extravasation from the corona mortis (star).
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A right external iliac arteriogram showed active extravasation off the corona mortis branch of the right inferior epigastric artery (Figures 2(a) and 2(b)).
Left common iliac angiogram. Active extravasation (star) is seen from a left corona mortis (arrow). In this case, the internal and external iliac communication arises from an aberrant pubic branch. This aberrant pubic branch originates from the left external iliac artery proximal to the origin of inferior epigastric artery.
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A left external iliac arteriogram was performed, revealing active extravasation from an aberrant pubic branch off the left external iliac artery proximal to the take-off of the left inferior epigastric artery (Figure 3).
Left common iliac injection. The inferior epigastric artery is clearly seen (arrow). Note absence of a corona mortis or pubic branches originating from the left inferior epigastric artery.
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A selective left inferior epigastric arteriogram confirmed the absence of corona mortis or pubic branches (Figure 4).