Hemorrhagic shock caused by closed internal degloving injury: a case report
Journal of the Korean Society of Emergency Medicine
; : 468-472, 2019.
Article
ي En
| WPRIM
| ID: wpr-758481
المكتبة المسؤولة:
WPRO
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.
Key words
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Shock, Hemorrhagic
/
Soft Tissue Injuries
/
Contusions
/
Subcutaneous Tissue
/
Emergency Service, Hospital
/
Stupor
/
Fascia
/
Delayed Diagnosis
/
Hematoma
نوع الدراسة:
Diagnostic_studies
المحددات:
Aged
/
Female
/
Humans
اللغة:
En
مجلة:
Journal of the Korean Society of Emergency Medicine
السنة:
2019
نوع:
Article