Hemorrhagic shock caused by closed internal degloving injury: a case report
김형빈, 박순창, 이성화, 배병관, 조영모, 장재훈, 박성욱,
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김형빈 ( Kim Hyung-Bin )
Pusan National University Hospital Department of Emergency Medicine
박순창 ( Park Soon-Chang )
Pusan National University Hospital Department of Emergency Medicine
이성화 ( Lee Sung-Hwa )
Pusan National University Hospital Department of Emergency Medicine
배병관 ( Bae Byung-Kwan )
Pusan National University Hospital Department of Emergency Medicine
조영모 ( Cho Young-Mo )
Pusan National University Hospital Department of Emergency Medicine
장재훈 ( Jang Jae-Hoon )
Pusan National University Hospital Department of Orthopaedic Surgery
박성욱 ( Park Sung-Wook )
Pusan National University Hospital Department of Emergency Medicine
KMID : 0385920190300050468
Abstract
A closed internal degloving injury is a soft tissue injury, in which the subcutaneous tissue is ripped from the underlying fascia. In rare cases, a closed internal degloving injury can lead to hemorrhagic shock. A 79-year-old woman was brought to the emergency department following an auto-pedestrian accident, in which she was hit by a car. She was in a stupor and was hypotensive. The initial evaluation was unremarkable. During management, the patient required the transfusion of a large volume of blood, and vasoactive agent. Abdominal computed tomography revealed a large hematoma in her lower back and gluteal area and she was diagnosed with a closed internal degloving injury. Missed or delayed diagnosis of this type of injury may result in a significant increase in transfusion requirements and irreversible hemorrhagic shock.
키워드
Soft tissue injuries; Degloving injuries; Hemorrhagic shock; Hematoma; Contusion
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