Hemorrhagic shock caused by closed internal degloving injury: a case report
Journal of the Korean Society of Emergency Medicine
;
: 468-472, 2019.
Article
in English
| WPRIM
| ID: wpr-758481
ABSTRACT
A closed internal degloving injury is a soft tissue injury, in which the subcutaneous tissue is ripped from the underlying fascia. In rare cases, a closed internal degloving injury can lead to hemorrhagic shock. A 79-year-old woman was brought to the emergency department following an auto-pedestrian accident, in which she was hit by a car. She was in a stupor and was hypotensive. The initial evaluation was unremarkable. During management, the patient required the transfusion of a large volume of blood, and vasoactive agent. Abdominal computed tomography revealed a large hematoma in her lower back and gluteal area and she was diagnosed with a closed internal degloving injury. Missed or delayed diagnosis of this type of injury may result in a significant increase in transfusion requirements and irreversible hemorrhagic shock.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Shock, Hemorrhagic
/
Soft Tissue Injuries
/
Contusions
/
Subcutaneous Tissue
/
Emergency Service, Hospital
/
Stupor
/
Fascia
/
Delayed Diagnosis
/
Hematoma
Type of study:
Diagnostic study
Limits:
Aged
/
Female
/
Humans
Language:
English
Journal:
Journal of the Korean Society of Emergency Medicine
Year:
2019
Type:
Article
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