Abstracts

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E2037. Pelvic Plights: Vascular Emergencies of the Pelvis
Authors
  1. Shamaita Majumdar; UCLA Department of Radiological Sciences
  2. Simin Bahrami; UCLA Department of Radiological Sciences
  3. Rinat Masamed; UCLA Department of Radiological Sciences
  4. Karoly Viragh; Olive View Medical Center; UCLA Department of Radiological Sciences
  5. Evan Raff; Olive View Medical Center; UCLA Department of Radiological Sciences
  6. Maitraya Patel; UCLA Department of Radiological Sciences
Background
There are a wide variety of acute vascular pathologies of the pelvis, with significant associated morbidity and mortality. It is therefore critical for providers to correctly and promptly identify such disease entities. Detailed review of acute pelvic vascular conditions can help prepare trainee radiologists to respond to pelvic vascular emergencies and potentially prevent serious complications.

Educational Goals / Teaching Points
This exhibit presents several cases of pelvic vascular emergencies, illustrating the background and clinical presentation each acute condition, the relevant imaging features on ultrasound, angiography, CT, or MR, and the next steps in treatment.

Key Anatomic/Physiologic Issues and Imaging Findings/Techniques
In this exhibit, we will review vascular anatomy of the pelvis, then provide case-based review of several acute pelvic vascular pathologies, including 1) Hemorrhage and Active Bleeding, 2) Torsion (Ovarian, Testicular), 3) Thrombosis and Thrombophlebitis, 4) Arteriovenous Fistula and Pseudoaneurysms, and 5) Iatrogenic injuries.

Conclusion
Pelvic vascular anatomy and acute pathology is highly varied and complex. Radiologists must be proficient in recognizing and appropriately responding to acute pelvic vascular emergencies.