| Summary points: | A 70-year-old woman with diabetes and hypertension sustains a head injury caused by a fall and a 59-year-old woman sustains bruising around her left foot and ankle after a lorry rolled over her left foot. Both complain of pain and swelling in the abdomen and groin and present with abdominal distension and bruising in the abdomen, groin, and perineum. Medical history, physical examination, computed tomography, and radiographs are described; images provided. The authors discuss the risk of life-threatening vascular injuries following trauma to the pelvis and stress the importance of close monitoring to ensure prompt hemodynamic instability secondary to minimally displaced pubic ramie fractures. |