Focal Contrast Blush in Surgery — 32yo Woman | Trauma Surgery | SMLE Q#18271

SMLE Question #18271

Surgery Trauma Surgery

Objective: OBJ-TRAUMA-PELVIC-HEMORRHAGE-01

Last updated: February 2026
A 32-year-old woman is brought to the emergency department after a high-speed motor vehicle collision. She has severe pelvic pain and pelvic instability on examination and is pale and diaphoretic. FAST shows no free intraperitoneal fluid. After initial resuscitation, pelvic CT angiography shows a large pelvic hematoma with a focal contrast blush. What is the most appropriate next step in management?

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