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{
    "pk": 749,
    "title": "A Rare Case of Hemorrhagic Shock: Morel-Lavallée Lesion",
    "subtitle": null,
    "abstract": "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.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/4903g27m",
    "frozenauthors": [
        {
            "first_name": "Lieke",
            "middle_name": "",
            "last_name": "Claassen",
            "name_suffix": "",
            "institution": "Zuyderland Medical Centre, Department of Emergency Medicine, Heerlen, The Netherlands",
            "department": "None"
        },
        {
            "first_name": "Myriam",
            "middle_name": "Anna",
            "last_name": "Franssen",
            "name_suffix": "",
            "institution": "Zuyderland Medical Centre, Department of Emergency Medicine, Heerlen, The Netherlands",
            "department": "None"
        },
        {
            "first_name": "Erik",
            "middle_name": "Robert",
            "last_name": "de Loos",
            "name_suffix": "",
            "institution": "Zuyderland Medical Centre, Department of Surgery, Heerlen, The Netherlands",
            "department": "None"
        }
    ],
    "date_submitted": "2019-10-22T00:50:25+02:00",
    "date_accepted": "2019-10-22T00:50:25+02:00",
    "date_published": "2019-10-22T00:51:07+02:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/749/galley/504/download/"
        }
    ]
}