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An unusual case of a patient who presented with haemorrhagic shock following massive subcutaneous haematomas of the lower back due to blunt trauma.
- Source :
-
BMJ case reports [BMJ Case Rep] 2015 Oct 14; Vol. 2015. Date of Electronic Publication: 2015 Oct 14. - Publication Year :
- 2015
-
Abstract
- An 83-year-old woman with no significant medical history was transferred to our tertiary hospital after being hit by a car and presenting with haemorrhagic shock. Immediate fluid resuscitation was performed; physical, chest/pelvic X-ray and echographic examinations did not detect any major sources of bleeding. However, a contrast-enhanced CT scan revealed multiple regions of significant contrast extravasation in an extensive part of the subcutaneous tissue of the patient's lower back, which is an unusual source of bleeding. Transcatheter arterial embolisation of the lumbar and internal iliac arteries and their branches was carried out. In addition, haemostatic resuscitation was performed for damage control resuscitation, which successfully resolved the patient's haemorrhagic shock.<br /> (2015 BMJ Publishing Group Ltd.)
- Subjects :
- Accidents, Traffic
Aged, 80 and over
Embolization, Therapeutic
Female
Hematoma therapy
Humans
Iliac Artery
Lumbar Vertebrae blood supply
Resuscitation
Shock, Hemorrhagic therapy
Back Injuries complications
Hematoma etiology
Shock, Hemorrhagic etiology
Subcutaneous Tissue injuries
Wounds, Nonpenetrating complications
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 2015
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 26468221
- Full Text :
- https://doi.org/10.1136/bcr-2015-211645