PMC7276602_01
Post-operative anteroposterior (AP) radiograph of the right hip showing acceptable reduction and fixation of the fracture. The 1st post-operative day right hip X-ray AP view showing acceptable reduction and fixation of the fracture, with proximal femoral nail anti-rotationwith a caput-collum-diaphyseal angle of 125 , 380mm in length and 10mm in diameter, and a 95mm blade.
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F1
Acceptable reduction and fixation were attained (Fig. 1).
Computed tomography (CT)scan of the right hip revealed extensive hematoma (arrow).Post-operative day 5 CT scan of pelvis and right hip revealed an extensive hematoma in the region of the gluteus medius measuring 25 cm x 7cm (arrow).
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F2
The patient underwent a computed tomography (CT) scan of the right hip, which demonstrated an extensive hematoma in the region of the gluteus medius, measuring 25 x7cm (Fig. 2).
Computed tomography(CT) scan with contrast of the right hip demonstrating active contrast extravasation (arrow).Post-operative day 6 CT scan with contrast of pelvis and right hip showing no significant change in the dimensions of the hematoma, but with findings suggestive of an active contrast extravasation in the gluteal region (arrow).
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F3
On the following day, a CT scan with contrast showed no significant change in the dimensions of the hematoma but revealed findings suggestive of an active contrast extravasation in the gluteal region (Fig. 3).
Angiography confirmed active extravasation of contrast in the gluteal region (arrow).Post-operative day 7 angiography confirmed an active extravasation of contrast from a distal branch of the right superior gluteal artery in the gluteal region (arrow).
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F4
Angiography was subsequently performed, on post-operative day 7, and confirmed an active extravasation of contrast from the right superior gluteal artery that was coiled and embolized (Fig. 4, 5, 6).
Angiography: Selective coil embolization of the right superior gluteal artery (arrow).Image of the selective coil embolization of the right superior gluteal artery performed during angiography, on post-operative day 7.
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F5
Angiography was subsequently performed, on post-operative day 7, and confirmed an active extravasation of contrast from the right superior gluteal artery that was coiled and embolized (Fig. 4, 5, 6).
Angiography with coil in place confirming the absence of blood leakage. Angiography image after selective coil embolization of the right superior gluteal artery, on post-operative day 7, confirming the absence of hemorrhage.
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F6
Angiography was subsequently performed, on post-operative day 7, and confirmed an active extravasation of contrast from the right superior gluteal artery that was coiled and embolized (Fig. 4, 5, 6).