An unusual cause of haemorrhagic shock from a subcutaneous haematoma: a Morel-Lavallée lesion.

Singapore Med J

Department of Acute and Emergency Care, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828.

Published: April 2015

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Article Abstract

20-year-old man presented to our emergency department after he was hit by a forklift. He developed haemorrhagic shock from a subcutaneous haematoma in his left thigh and required monitoring in the surgical intensive care unit. He stabilised with aggressive fluid resuscitation with crystalloids and blood transfusion. The recovery was complicated by an infection of the subcutaneous haematoma. Following open drainage of the infected subcutaneous haematoma, he improved and was discharged. To the best of our knowledge, this is the first reported case of a subcutaneous haematoma causing haemorrhagic shock.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415108PMC
http://dx.doi.org/10.11622/smedj.2015063DOI Listing

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