Unusual case of life threatening subcutaneous hemorrhage in a blunt trauma patient

Hefny, Ashraf F.; Kaka, Laith N.; Salim, El Nazeer A.; Khoury, Nabil N. Al

doi:10.1016/j.ijscr.2015.08.035

Cited by 8 publications

(7 citation statements)

References 10 publications

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“…[ 36 ] Therefore, early diagnosis and management of the lesion is essential to prevent infectious complications and extensive skin necrosis. [ 5 37 38 ] The overall mortality in our series was 12.6%, and ISS and GCS were found to be an independent predictor of mortality in patients with MLL regardless of BMI.…”

Section: Discussionmentioning

confidence: 58%

“…It has been suggested that MLL is a potential risk for surgical site infection (SSI) in patients with acetabular fracture. [ 37 ] In our study, we lack information regarding SSI in cases that underwent surgical treatment for a pelvic fracture. Furthermore, we relied on BMI and not the central obesity which could be a limiting factor of accurate estimation of the definition and impact of obesity.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical presentation and management of pelvic Morel–Lavallee injury in obese patients

Muneer

El‐Menyar

Abdelrahman

et al. 2019

J Emerg Trauma Shock

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Section: Discussionmentioning

confidence: 58%

Section: Discussionmentioning

confidence: 99%

Clinical presentation and management of pelvic Morel–Lavallee injury in obese patients

Muneer

El‐Menyar

Abdelrahman

et al. 2019

J Emerg Trauma Shock

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“…Mao et al reported a lesion located at the upper thigh, which was treated by surgical drainage after a few days 7. Hefny et al reported a case of an extensive hematoma at the flank without contrast extravasation on the CT 5. In this case, percutaneous suction drainage was performed.…”

Section: Discussionmentioning

confidence: 98%

“…Only a few published case reports describe a Morel-Lavallée lesion in the lumbar region, and they are mainly chronic lesions in non-shock patients 3. Only three cases of hemorrhagic shock have been described 5,6,7…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Hemorrhagic Shock: Morel-Lavallée Lesion

Claassen

Franssen

Loos

2019

Clinical Practice and Cases in Emergency Medicine

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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.

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“…Classen et al [ 5 ] reported a case of MLS situated in the lumbar region treated with conservative treatment based on compression using the patient’s own body weight. Hefny et al [ 6 ] reported a case of MLS in the flunk treated by percutaneous suction drainage. Mao et al [ 7 ] reported a lesion located at the upper thigh treated by surgical drainage.…”

Section: Discussionmentioning

confidence: 99%

Morel-Lavallée lesion as an unusual cause of hemorrhagic shock: Case report and review of literature

Daghmouri¹,

Ismail²,

Ouesleti³

et al. 2020

International Journal of Surgery Case Reports

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Introduction Morel-Lavallée syndrome (MLS) is considered as a rare entity and hemorrhagic shock as a complication is uncommon. Presentation of case We report the case of a 56-year- old man who presented to the emergency department after a road traffic accident. Initially, the patient was hemodynamically unstable (heart rate 160 beats/min and blood pressure 65/30). Physical examination revealed multiple lacerations on his back and a gradually expanding large subcutaneous hematoma on the left flank extending to the hip and left leg. Fluid resuscitation was rapidly initiated. After stabilizing his hemodynamic status, a full-body computed tomography was performed revealing, apart from a small unilateral pneumothorax and a stable pelvis fracture, an extensive Morel-Lavallée lesion in the lumbar region extending to the hip and both legs. The patient was then transferred to a surgical intensive care unit for further resuscitation and surgical drainage of the collection followed by continuous suction was performed. Even though rare, Hemorrhagic shock is one of the threatening complications of Morel-Lavallée lesions and should be kept in mind by every traumatologist and emergency doctor. Conclusion We report a case about a rare complication of MLS which is hemorrhagic shock in order to highlight the importance of making the diagnosis, which can be unrecognized, and initiate an adequate treatment on time.

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Unusual case of life threatening subcutaneous hemorrhage in a blunt trauma patient

Cited by 8 publications

References 10 publications

Clinical presentation and management of pelvic Morel–Lavallee injury in obese patients

Clinical presentation and management of pelvic Morel–Lavallee injury in obese patients

A Rare Case of Hemorrhagic Shock: Morel-Lavallée Lesion

Morel-Lavallée lesion as an unusual cause of hemorrhagic shock: Case report and review of literature

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