Blunt traumatic external iliac vein disruption without pelvic fracture

Most blunt traumatic pelvic venous injuries are associated with pelvic fracture or iliac artery injury. Isolated blunt traumatic external iliac vein injury without pelvic fracture is extremely rare, but is potentially lethal. The operative exposure and repair of the iliac vessel is a test of a surgeon's technical expertise and judgment, especially when the scenario is an intraoperative finding of an exsanguinous retroperitoneal hematoma. This study focused on surgical access to the external iliac venous injury, while exploring an expanding retroperitoneal hematoma.