Hemorrhagic shock caused by closed internal degloving injury: a case report
Journal of the Korean Society of Emergency Medicine
;
: 468-472, 2019.
Article
Dans Anglais
| 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.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Choc hémorragique
/
Traumatismes des tissus mous
/
Contusions
/
Tissu sous-cutané
/
Service hospitalier d'urgences
/
État de stupeur
/
Fascia
/
Retard de diagnostic
/
Hématome
Type d'étude:
Etude diagnostique
Limites du sujet:
Adulte très âgé
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Journal of the Korean Society of Emergency Medicine
Année:
2019
Type:
Article
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