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

ABSTRACT: INTRODUCTION:Hemorrhage is the most common cause of shock in injured patients. Bleeding into the subcutaneous plane is underestimated cause of hypovolemic shock. PRESENTATION OF CASE:Unrestrained male driver involved in a rollover car crash. On examination, his pulse rate was 144bpm, blood pressure 80/30mmHg, and GCS was 7/15. His right pupil was dilated but reactive. Back examination revealed severe contusion with friction burns and lacerations. A Focused Assessment Sonography for Trauma (FAST) was performed. No free intraperitoneal fluid was detected. CT scan of the brain has shown right temporo-parietal subdural hematoma and extensive hematoma in the deep subcutaneous soft tissues of the back. Decompressive cranicotomy and evacuation of the subdural hematoma was performed. On the 4th po

SUBMITTER: Hefny AF 

PROVIDER: S-EPMC4601975 | biostudies-literature | 2015

REPOSITORIES: biostudies-literature