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A motorcyclist with a dome-shaped deformation of his flank
  1. Patrick Schober1,2,
  2. Jan Fräβdorf2,3,
  3. Kees J Ponsen4,
  4. Stephan A Loer1,2,
  5. Lothar A Schwarte1,2
  1. 1Department of Anesthesiology, VUmc, Amsterdam, The Netherlands
  2. 2Network Acute Care, region VUmc, Amsterdam, The Netherlands
  3. 3Department of Anesthesiology, AMC, Amsterdam, The Netherlands
  4. 4Department of Surgery, Trauma Unit, AMC, Amsterdam, The Netherlands
  1. Correspondence to Dr Lothar A Schwarte, Department of Anaesthesiology, VUmc University Medical Center, De Boelelaan 1117, 1007 MB Amsterdam, The Netherlands, L.Schwarte{at}VUmc.NL

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Patient presentation

In a traffic accident, a motorcyclist crashed into a van (figure 1A). The biker lay on the street, parallel to the van's rear bumper. We noticed a dome-shaped, baseball-sized deformation of his right flank. The patient was conscious and haemodynamically compensated upon arrival of our trauma team.

Figure 1

(A) Overview of the accident …

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