Figure 5.

A 65-year-old female who suffered low velocity crush injuries between a car and wall. (A,B) Contrast enhanced CT demonstrates complex pelvic fractures and multiple sites of active hemorrhage (long arrows). (C) The patient underwent selective angiography of bilateral internal iliac arteries confirming this. (D) The posterior trunk of the left internal iliac artery was embolized using Gelfoam. (E,F,G) Multiple sites of hemorrhage persisted. The posterior trunk of the right internal iliac artery was embolized using microcoils, however, the entire right internal iliac artery was eventually embolized using Gelfoam to achieve hemostasis.