An isolated iliac vein injury due to blunt trauma by a bicycle handlebar without a pelvic fracture: A case report

Abstract

Abdominal and pelvic blunt vascular trauma without skeletal injury is considered a rare condition. Iliac vein injuries are usually seen with penetrating trauma, whereas they result from blunt trauma very rarely. A 15-year-old boy was admitted who fell from a bicycle and got his left hypogastric region hit by the handlebar. He had an isolated left external iliac vein injury and massive bleeding related to this blunt trauma, which eventually resulted in hypovolemic shock and a huge regional hematoma. The hematoma compressed the left external iliac artery and triggered ischemia. In conclusion, prompt diagnosis and treatment are of utmost importance to save the extremities and lives of patients.