An unusual case of a patient who presented with haemorrhagic shock following massive subcutaneous haematomas of the lower back due to blunt trauma

Tetsuya Yumoto, Keiji Sato, Toyomu Ugawa, Yoshihito Ujike

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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 languageEnglish
Article numberA1599
JournalBMJ Case Reports
Volume2015
DOIs
Publication statusPublished - Oct 14 2015

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Hemorrhagic Shock
Resuscitation
Hematoma
Wounds and Injuries
Hemorrhage
Iliac Artery
Subcutaneous Tissue
Hemostatics
Tertiary Care Centers
Thorax
X-Rays

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 journalArticle

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