We report the case of a young man involved in
a high velocity road traffic accident. He presented with multiple injuries and a shock. This shock was suspected to be
caused by an intra-abdominal bleeding and an exploratory
laparotomy was performed. The procedure did not identify
any intra-abdominal bleeding and the source of bleeding
was found lately: an intramuscular active bleeding in the
dorsal and lumbar muscular compartments. This case was
discussed in our local mortality and morbidity meeting
Disciplines :
Human health sciences: Multidisciplinary, general & others
Kim DY, Yelle JD, Lee AC, et al.-National survey of Canadian general surgery program directors regarding focused assessment with sonography for trauma. J Surg Educ, 2009, 66, 193-195.
Dubois L, Leslie K, Parry N.-FACTS survey : focused assessment with sonography for trauma use among Canadian residents training in general surgery. J Trauma, 2010, 69, 765-769.
Kim CH, Shin SD, Song KJ, et al.-Diagnostic accuracy of focused assessment with sonography for trauma (FAST) examinations performed by emergency medical technicians. Prehosp Emerg Care, 2012, 16, 400-406.
Ghafouri HB, Zare M, Bazrafshan A, et al.-Diagnostic accuracy of emergency-performed focused assessment with sonography for trauma (FAST) in blunt abdominal trauma. Electron Physician, 2016, 8, 2950-2953.
Ogura T, Nakamura Y, Nakano M, et al.-Predicting the need for massive transfusion in trauma patients : the Traumatic Bleeding Severity Score. J Trauma Acute Care Surg, 2014, 76, 1243-1250.
