Hemorrhagic shock caused by closed internal degloving injury: a case report
Journal of the Korean Society of Emergency Medicine
;
: 468-472, 2019.
Artigo
em Inglês
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Choque Hemorrágico
/
Lesões dos Tecidos Moles
/
Contusões
/
Tela Subcutânea
/
Serviço Hospitalar de Emergência
/
Estupor
/
Fáscia
/
Diagnóstico Tardio
/
Hematoma
Tipo de estudo:
Estudo diagnóstico
Limite:
Idoso
/
Feminino
/
Humanos
Idioma:
Inglês
Revista:
Journal of the Korean Society of Emergency Medicine
Ano de publicação:
2019
Tipo de documento:
Artigo
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