An unusual cause of haemorrhagic shock from a subcutaneous haematoma: a Morel-Lavallée lesion.
20-year-old man presented to our emergency department after he was hit by a forklift. He developed haemorrhagic shock from a subcutaneous haematoma in his left thigh and required monitoring in the surgical intensive care unit. He stabilised with aggressive fluid resuscitation with crystalloids and blood transfusion. The recovery was complicated by an infection of the subcutaneous haematoma. Following open drainage of the infected subcutaneous haematoma, he improved and was discharged. To the best of our knowledge, this is the first reported case of a subcutaneous haematoma causing haemorrhagic shock.
Department of Acute and Emergency Care, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828. mao.desmond.r@alexandrahealth.com.sg.
Renhao Desmond
RD
Mao
Enjiu Pauleon
EP
Tan
Hsin Kai
HK
Goh
D000063:Accidents, Traffic; D003937:Diagnosis, Differential; D006406:Hematoma / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D012771:Shock, Hemorrhagic / Q000175:diagnosis / Q000209:etiology*; D017695:Soft Tissue Injuries / Q000150:complications* / Q000175:diagnosis; D055815:Young Adult