Abstract

Haemorrhagic shock, resulting from rapid and significant blood loss, poses a serious threat in trauma care due to its impact on tissue oxygenation and organ function. Immediate identification of bleeding sources is crucial, yet internal injuries may remain undetected. One such underrecognized condition is the Morel-Lavallée lesion (MLL) a closed soft tissue injury typically caused by highimpact trauma. It occurs when the skin and subcutaneous layers are forcibly separated from the underlying fascia, creating a space that may fill with blood and bodily fluids. Although uncommon, MLL can serve as a concealed site of haemorrhage, contributing to shock if not promptly addressed. We present the case of a 24-year-old female who developed hypovolemic shock after sustaining injuries to physical assault, later diagnosed with MLL. This case highlights the importance of thorough imaging in patients to uncover hidden sources of bleeding and emphasizes the need for early recognition and appropriate treatment of MLL to improve outcomes.

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