Hemorrhagic shock caused by closed internal degloving injury: a case report
- Author:
Hyung Bin KIM
1
;
Soon Chang PARK
;
Sung Hwa LEE
;
Byung Kwan BAE
;
Young Mo CHO
;
Jae Hoon JANG
;
Sung Wook PARK
Author Information
1. Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea. psu52156@naver.com
- Publication Type:Case Report
- Keywords:
Soft tissue injuries;
Degloving injuries;
Hemorrhagic shock;
Hematoma;
Contusion
- MeSH:
Aged;
Contusions;
Delayed Diagnosis;
Emergency Service, Hospital;
Fascia;
Female;
Hematoma;
Humans;
Shock, Hemorrhagic;
Soft Tissue Injuries;
Stupor;
Subcutaneous Tissue
- From:Journal of the Korean Society of Emergency Medicine
2019;30(5):468-472
- CountryRepublic of Korea
- Language:English
-
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.
