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/PMC10719118PMC
http://dx.doi.org/10.7759/cureus.48764DOI Listing

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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.

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Article Synopsis
  • The study investigates the CT features of Morel-Lavallée lesions (MLLs) in cats, focusing on their occurrence following trauma and their unique fluid characteristics.
  • Three young cats with recurrent swelling after pelvic limb trauma were examined, all showing fluid-filled spaces between the dermis and deep fascia.
  • MLLs can be easily misdiagnosed due to similar appearances to other injuries, posing risks like significant skin necrosis if not treated properly.
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