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Massive haemorrhage after a low-energy pubic ramus fracture in a 71-year-old woman


We describe a case of a patient receiving warfarin who presented with a superior pubic ramus fracture after a trivial fall at home. She developed a massive retroperitoneal haematoma as a result of vascular injury and subsequently died. This case emphasises the importance of admitting and observing patients with pubic rami fractures who are receiving antithrombotic treatment, and haemorrhage should be considered if they become haemodynamically compromised.

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    The Fellowship of Postgraduate Medicine
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    The Fellowship of Postgraduate Medicine