Fig. 20.

Pelvic fracture with multiple associated injuries. ( a ) Nonselective pelvic angiography shows a faint amount of active extravasation near the pubis (arrow). ( b ) Hypogastric angiography was negative; however, the external iliac angiography shows injury in a pubic branch of the inferior epigastric artery (arrow). ( c ) Selective angiography with a microcatheter shows multiple areas of contrast extravasation. ( d ) Angiography after Gelfoam embolization demonstrates cessation of contrast extravasation.