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(A) Computed tomography showed the left retroperitoneal hematoma and the left common iliac vein injury with venous extravasation (arrow). (B) The iliac artery was intact.
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Trauma grade 3) with arterial extravasation, left retroperitoneal hematoma, left common iliac vein injury with massive extravasation (Fig. 1), and a right femoral fracture.
CT showed the left-sided preperitoneal pelvic packing gauze (arrows). There was no extravasation or obstruction from the left common iliac vein. We pressed the left iliac vein using gauze and pile-up gauze from the preperitoneal space to near the midline rectus to apply adequate pressure.
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The venous angiography of the left iliac vein and follow-up CT showed no apparent bleeding from the arteries and veins (Fig. 2) In addition, skeletal traction for the femur fracture was performed after the embolization.