• Singap Med J · Apr 2015

    Case Reports

    An unusual cause of haemorrhagic shock from a subcutaneous haematoma: a Morel-Lavallée lesion.

    • Renhao Desmond Mao, Enjiu Pauleon Tan, and Hsin Kai Goh.
    • Department of Acute and Emergency Care, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore 768828. mao.desmond.r@alexandrahealth.com.sg.
    • Singap Med J. 2015 Apr 1; 56 (4): e62-4.

    Abstract20-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.

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