TY - JOUR T1 - Pelvic crush injury requiring hemicorporectomy JF - Trauma Surgery & Acute Care Open JO - Trauma Surg Acute Care Open DO - 10.1136/tsaco-2021-000740 VL - 6 IS - 1 SP - e000740 AU - Megan Lenihan AU - Carlo Bellabarba AU - Conor P Kleweno AU - Lisa McIntyre AU - Bryce Robinson AU - Samuel P Mandell Y1 - 2021/07/01 UR - http://tsaco.bmj.com/content/6/1/e000740.abstract N2 - A teenage man was involved in a forklift rollover resulting in a crush injury to his pelvis, left thigh, and right forearm. He presented to a level three trauma center with a Glasgow Coma Scale of 15 and was stabilized, including endotracheal intubation, placement of a left chest tube for pneumothorax, application of a right upper extremity tourniquet, application of a pelvic binder, and massive transfusion. Angiography was performed for pelvic bleeding concerns and demonstrated thrombosis at the iliac bifurcation (figure 1).Figure 1 Angiography demonstrating obstructed flow at the level of the common iliac arteries bilaterally.Due to the complexity of his injuries, he was transferred to a level one trauma center where his examination was notable for a large left groin wound with gross feculent contamination. He had significant left thigh and perineal degloving and absence of bilateral lower extremity pulses. His right upper extremity remained with a tourniquet in place above the elbow, and nearly complete amputation distally. The patient was taken immediately to the operating room where he was found to have ischemic left colon and rectum, perineal degloving, and avulsion of the bladder dome. He sustained catastrophic disruption of his pelvic ring including spinopelvic dissociation, severe comminuted fractures throughout the entire … ER -