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. 2021 Jul;9(14):1196. doi: 10.21037/atm-20-4591

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2021 Annals of Translational Medicine. All rights reserved.

Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0.

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A 15-year-old male who suffered multiple complex crush injuries from a farming accident. (A,B) Contrast enhanced CT shows active hemorrhage in the left hemipelvis (long arrow). (B,C) Complete disruption of the pubic symphysis (pentagon arrow) with complete posterosuperior dislocation of the left pubic rami. (C) Note the presence of a pelvic binder (arrowhead) on plain film. (A) There were multiple other injuries including unstable spinal injuries, bilateral pulmonary lacerations, pneumohemothoraces and pneumoperitoneum (notched arrows). This patient responded well to conservative management and therefore did not require endovascular intervention as per multidisciplinary team consensus.