Long-standing Morel-Lavallée lesion of the thigh simulating a neoplasm

Kalacı, Aydıner; Karazincir, Sinem; Yanat, Ahmet Nedim

doi:10.1016/j.clinimag.2007.01.012

Cited by 45 publications

(37 citation statements)

References 20 publications

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“…It requires to be properly investigated in long standing cases especially in advanced age group where at times it may simulate a neoplastic lesion. 7 We chose syringe evacuation of fluid under aseptic condition followed by compressive bandaging. We did not go for open as we did not know the nature of collection beforehand.…”

Section: Discussionmentioning

confidence: 99%

Managing neglected Morel-Lavallée lesion of thigh in a limited resource environment: a case report and review of literature

2015

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<p class="abstract"><span lang="EN-US">Morel-Lavallée lesion is a special form of a traumatic event that consists of an internal degloving injury to a body part. The injury is not very common and limited to numerus case reports and series described in the literature. Long standing and neglected cases are rarer and owe their neglect to poor attention to the presence of the entity as significant one. There are various treatment modalities described for the mangement of this condition none with an evidence of superiority over the other. We hereby describe our experience of a six weeks old neglected condition managed successfully in limited resource environment.</span></p>

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Section: Discussionmentioning

confidence: 99%

Managing neglected Morel-Lavallée lesion of thigh in a limited resource environment: a case report and review of literature

2015

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“…Its radiological appearance varies over time, but it can be mistaken for neoplasms 20. Infections of untreated Morel-Lavallée lesions are known to occur, as are recidivist lesions and secondary infections after needle aspiration, so surgical treatment is often advised 21–23.…”

Section: Differential Diagnosismentioning

confidence: 99%

Rare presentation of Brodie's abscess in the acromion process and the value of the penumbra sign

Gorter¹,

Rykov

Ott

et al. 2017

BMJ Case Reports

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A 17-year-old male patient presented with a swelling on his right shoulder 1 week after a fall. MRI revealed a superficial fluid collection of the acromion and trapezius muscle, with slight enhancement of the wall. The swelling burst open spontaneously after failed conservative therapy and was treated with surgical drainage and antibiotics. Tissue cultures showed a Staphylococcus aureus 1 year later, he presented with local red discolouration and a recurrent painful swelling that fluctuated at palpation. Radiographs showed a lytic lesion of the acromion process. MRI showed a sinus in the lytic cavity and a penumbra sign, which helped to identify this extremely rare occurrence of Brodie's abscess in the acromion process that was breaking through to the subcutaneous fat. The abscess was treated successfully with surgical drainage and intravenous antibiotics. In retrospect, the first MRI showed a small cortical indentation, with slight oedema of the acromion process.

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“…Because the Morel-Lavallée lesion is encapsulated, it does not resolve spontaneously and usually requires surgical treatment or drainage (147). If chronic, it may mimic a soft-tissue mass (eg, sarcoma) (148). An MR classification system for Morel-Lavallée lesions has been proposed (types I-V), depending on morphology, capsule, T1 and T2 signal intensity, and contrast enhancement (146).…”

Section: State Of the Art: Hip Imaging In Athletesmentioning

confidence: 99%

Hip Imaging in Athletes: Sports Imaging Series

et al. 2016

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Hip or groin pain in athletes is common and clinical presentation is often nonspecific. Imaging is a very important diagnostic step in the work-up of athletes with hip pain. This review article provides an overview on hip biomechanics and discusses strategies for hip imaging modalities such as radiography, ultrasonography, computed tomography, and magnetic resonance (MR) imaging (MR arthrography and traction MR arthrography). The authors explain current concepts of femoroacetabular impingement and the problem of high prevalence of cam-and pincer-type morphology in asymptomatic persons. With the main focus on MR imaging, the authors present abnormalities of the hip joint and the surrounding soft tissues that can occur in athletes: intraarticular and extraarticular hip impingement syndromes, labral and cartilage disease, microinstability of the hip, myotendinous injuries, and athletic pubalgia. Hip or groin pain in athletes is common and clinical presentation is often nonspecific. Imaging is a very important diagnostic step in the work-up of athletes with hip pain. This review article provides an overview on hip biomechanics and discusses strategies for hip imaging modalities such as radiography, ultrasonography, computed tomography, and magnetic resonance (MR) imaging (MR arthrography and traction MR arthrography). The authors explain current concepts of femoroacetabular impingement and the problem of high prevalence of cam-and pincer-type morphology in asymptomatic persons. With the main focus on MR imaging, the authors present abnormalities of the hip joint and the surrounding soft tissues that can occur in athletes: intraarticular and extraarticular hip impingement syndromes, labral and cartilage disease, microinstability of the hip, myotendinous injuries, and athletic pubalgia. After reading the article and taking the test, the reader will be able to:n Describe biomechanical implications of torsional malalignment and other atypical forms of hip impingement n Describe the most common MR imaging findings in femoroacetabular impingement and identify anatomic variants n Describe imaging characteristics of a Morel-Lavallée lesion and identify the anatomic compartment where this lesion typically occurs n Identify common stress fractures around the hip joint in athletes and discuss potential complications n Describe features of myotendinous injuries around the hip n Describe the anatomic relationship of the sacrotuberous ligament and the origin of the hamstring tendons n Describe the anatomic structures involved in an athletic pubalgia Accreditation and Designation Statement The RSNA is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The RSNA designates this journal-based SA-CME activity for a maximum of 1.0 AMA PRA Category 1 Credit ™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity. Disclosure StatementThe ACCME requires that the RSNA, as an accredited prov...

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Long-standing Morel-Lavallée lesion of the thigh simulating a neoplasm

Cited by 45 publications

References 20 publications

Managing neglected Morel-Lavallée lesion of thigh in a limited resource environment: a case report and review of literature

Managing neglected Morel-Lavallée lesion of thigh in a limited resource environment: a case report and review of literature

Rare presentation of Brodie's abscess in the acromion process and the value of the penumbra sign

Hip Imaging in Athletes: Sports Imaging Series

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