A Morel-Lavallee lesion (MLL) is a rare internal denudement injury of skin and hypodermis from deep fascia, usually occurring hours to days after an inciting trauma. A common location is the pelvis or thigh where there is prominent vascularization and may mimic diagnoses such as deep vein thrombosis or contusion. Fluid collections that persist despite conservative management require surgical intervention and frequent and prolonged hospitalizations as in this case of a patient with a persistent MLL. We emphasize early imaging for diagnosis and surgical service involvement, as delay may lead to persistent symptoms and worse health outcomes.
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10719118 | PMC |
http://dx.doi.org/10.7759/cureus.48764 | DOI Listing |
Case: Pediatric Morel-Lavallée lesions are infrequent and may present in atypical locations. A 3-year-old boy presented with a nontender, mobile, cystic swelling on the medial aspect of his left distal thigh, 2 weeks after a road traffic accident. The diagnosis was confirmed using 3D ultrasonography.
View Article and Find Full Text PDFClin Case Rep
December 2024
Department of Orthopedic Surgery, Faculty of Medicine Saga University Saga Japan.
Morel-Lavallée lesion (MLL) is a closed soft tissue injury following trauma that is often missed. If not treated appropriately, they can lead to infection and is difficult to treat. High-energy trauma with shear forces should be treated with MLL in mind.
View Article and Find Full Text PDFJ Indian Assoc Pediatr Surg
November 2024
Department of Pediatric Visceral Surgery, Nancy Regional University Hospital Center, Nancy, France.
Morel-Lavallée lesion, also called closed degloving injury, is a rare clinical entity in routine pediatric surgical practice. We present a case of an 11-year-old girl presenting with a left hip lesion, treated with compression bandage, and the clinical outcome was favorable.
View Article and Find Full Text PDFPOCUS J
November 2024
Department of Emergency Medicine, Hartford Hospital Hartford, CT USA.
Morel-Lavallee Lesion (MLL) is a rare diagnosis of a closed internal degloving injury that can occur with high energy trauma. The pain, soft tissue swelling, and ecchymosis that patients describe mimic many other emergent diagnoses to include compartment syndrome and fractures. The following case highlights the importance of the role of Emergency Medicine physicians using point-of-care ultrasound (POCUS) to recognize and treat a potentially life-threatening injury.
View Article and Find Full Text PDFJ Am Vet Med Assoc
January 2025
1Royal (Dick) School of Veterinary Studies, The University of Edinburgh, Edinburgh, UK.
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