A Rare Case of Hemorrhagic Shock: Morel-Lavallée Lesion
General Material Designation
[Article]
First Statement of Responsibility
Claassen, Lieke; Franssen, Myriam Anna; de Loos, Erik Robert
SUMMARY OR ABSTRACT
Text of Note
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.
SET
Date of Publication
2019
Title
Clinical Practice and Cases in Emergency Medicine
Volume Number
3/4
PERSONAL NAME - PRIMARY RESPONSIBILITY
Entry Element
Claassen, Lieke; Franssen, Myriam Anna; de Loos, Erik Robert