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KMID : 0385920190300050468
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Journal of the Korean Society of Emergency Medicine
2019 Volume.30 No. 5 p.468 ~ p.472
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Hemorrhagic shock caused by closed internal degloving injury: a case report
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Kim Hyung-Bin
Park Soon-Chang
Lee Sung-Hwa
Bae Byung-Kwan
Cho Young-Mo
Jang Jae-Hoon
Park Sung-Wook
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Abstract
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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.
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KEYWORD
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Soft tissue injuries, Degloving injuries, Hemorrhagic shock, Hematoma, Contusion
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