@article{ref1,
title="A Rare Case of Hemorrhagic Shock: Morel-Lavallée Lesion",
journal="Clinical practice and cases in emergency medicine",
year="2019",
author="Claassen, Lieke and Franssen, Myriam Anna and de Loos, Erik Robert",
volume="3",
number="4",
pages="417-420",
abstract="Hemorrhage is a major cause of death among trauma patients. Controlling the bleeding is essential but can be difficult when the source of bleeding remains unidentified. We present a 67-year-old healthy male with a hypovolemic shock after a suicide attempt by jumping from a height. Apart from a bilateral pneumothorax with multiple rib fractures, a femur fracture and spine fractures, computer tomography (CT) revealed a closed, degloving injury of the back, also known as a Morel-Lavallée lesion. Hemodynamic instability due to hemorrhage caused by a Morel-Lavallée lesion in the lumbar region is very rare and easily overlooked. This case demonstrates the importance of clinical signs of Morel-Lavallée, and illustrates the need for total body CTs to exclude other locations of bleeding and to detect contrast extravasation. This report also discusses the possible treatment options for Morel-Lavallée lesions.<p /><p>Language: en</p>",
language="en",
issn="2474-252X",
doi="10.5811/cpcem.2019.9.43674",
url="http://dx.doi.org/10.5811/cpcem.2019.9.43674"
}