TY  - JOUR
PY  - 2019//
TI  - A Rare Case of Hemorrhagic Shock: Morel-Lavallée Lesion
JO  - Clinical practice and cases in emergency medicine
A1  - Claassen, Lieke
A1  - Franssen, Myriam Anna
A1  - de Loos, Erik Robert
SP  - 417
EP  - 420
VL  - 3
IS  - 4
N2  - 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>
LA  - en
SN  - 2474-252X
UR  - http://dx.doi.org/10.5811/cpcem.2019.9.43674
ID  - ref1
ER  -