Case Reports Open access

Late-onset bleeding due to displaced lesser trochanter after a short gamma nail: a case report

Authors

Published
22 July 2025
Section
Case Reports
DOI
10.4081/crest.2025.37

Abstract

An 89-year-old female patient presented to the emergency department with a spontaneously occurring and rapidly increasing swelling and pressure pain in her left thigh. Five weeks previously, she had suffered a pertrochanteric femur fracture on the left side following a domestic fall, which was surgically treated with a short gamma nail. Following an uneventful post-operative course, the patient was discharged to a rehabilitation clinic. A CT angiography confirmed the clinical suspicion of bleeding, identifying the profunda femoris artery as the source. The cause of the vascular injury was the displaced lesser trochanter. By implanting a covered stent, the active bleeding was stopped, and after stabilizing the patient, the hematoma was surgically removed, whereby the lesser trochanter was left alone.

Keywords

References

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Author Biographies

  • Pavol Mikula, Clinic for Geriatrics and Geriatric Day Clinic, Bayreuth Hospital, Medical Campus Upper Franconia

    Chair of Geriatrics, Friedrich-Alexander University Erlangen-Nuremberg, Germany.

  • Matthias Unseld, Haus der Barmherzigkeit, Medical University

    Chair of Geriatrics, Friedrich-Alexander University Erlangen-Nuremberg, Germany

  • Hans Jürgen Heppner, Clinic for Geriatrics and Geriatric Day Clinic, Bayreuth Hospital, Medical Campus Upper Franconia

    Chair of Geriatrics, Friedrich-Alexander University Erlangen-Nuremberg, Germany.

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