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

Singapore Med J 2015 Apr;56(4):e62-4

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

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.

Download full-text PDF

Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4415108PMC
http://dx.doi.org/10.11622/smedj.2015063DOI Listing
April 2015
20 Reads
0.634 Impact Factor

Publication Analysis

Top Keywords

subcutaneous haematoma
20
haemorrhagic shock
12
shock subcutaneous
8
subcutaneous
5
haematoma
5
surgical intensive
4
monitoring surgical
4
infected subcutaneous
4
drainage infected
4
intensive care
4
haematoma improved
4
improved discharged
4
haematoma left
4
left thigh
4
care unit
4
thigh required
4
required monitoring
4
aggressive fluid
4
crystalloids blood
4
infection subcutaneous
4

Similar Publications