A 45-year-old male patient is involved in a high-speed motor vehicle collision. During transport, he complains of severe abdominal and back pain, with signs of hypotension and tachycardia. Upon further assessment, bruising is observed over the flank area (Grey-Turner's sign). Which retroperitoneal injury is most likely associated with these findings?
A retroperitoneal hemorrhage is strongly suggested by the presence of hypotension, tachycardia, severe pain, and flank bruising (Grey-Turner's sign). This injury can occur due to trauma mechanisms such as a high-speed motor vehicle collision. During transport, close monitoring of vital signs and rapid transport to a facility capable of managing severe hemorrhage and potential surgical intervention is essential. Splenic injury, liver trauma, and hollow organ perforation are less likely to present with flank bruising specifically and usually have different clinical signs.
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