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.
| Original language | English |
|---|---|
| Article number | A1599 |
| Journal | BMJ Case Reports |
| Volume | 2015 |
| DOIs | |
| Publication status | Published - Oct 14 2015 |
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ASJC Scopus subject areas
- Medicine(all)
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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. / Yumoto, Tetsuya; Sato, Keiji; Ugawa, Toyomu; Ujike, Yoshihito.
In: BMJ Case Reports, Vol. 2015, A1599, 14.10.2015.Research output: Contribution to journal › Article
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TY - JOUR
T1 - An unusual case of a patient who presented with haemorrhagic shock following massive subcutaneous haematomas of the lower back due to blunt trauma
AU - Yumoto, Tetsuya
AU - Sato, Keiji
AU - Ugawa, Toyomu
AU - Ujike, Yoshihito
PY - 2015/10/14
Y1 - 2015/10/14
N2 - 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.
AB - 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.
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U2 - 10.1136/bcr-2015-211645
DO - 10.1136/bcr-2015-211645
M3 - Article
VL - 2015
JO - BMJ Case Reports
JF - BMJ Case Reports
SN - 1757-790X
M1 - A1599
ER -