Two Cases of Morel-Lavallée Lesion Which Resulted in a Wide Skin Necrosis from a Small Laceration

Nakajima, Tadahiro; Tada, Kazuhiro; Nakada, Mika; Matsuta, Masashi; Yokogawa, Noriaki

doi:10.1155/2020/5292937

Cited by 2 publications

(2 citation statements)

References 6 publications

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“…Frequently, the skin does not change in appearance. If signs of necrosis do appear, they are more common, manifesting as black colouring to the skin, as reported by Nakajima et al (8) in two case presentations, and rarely as such a symmetrical chequered pattern of blisters.…”

Section: Discussionmentioning

confidence: 70%

Morel-Lavallée lesion associated with atypical skin damage: a case report

Luisetto¹,

Legrand²,

Vandromme³

et al. 2021

Acta Orthop Belg

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A Morel-Lavallée lesion is a post-traumatic, soft tissue lesion that is little known and for which there is no standard treatment. This report describes the case of a 51-year-old man who presented with a large Morel-Lavallée lesion on the left calf that was not diagnosed on two visits to the emergency department. Given the deteriorating condition of the skin, we performed surgical drainage of the effusion because the skin was showing signs of major damage. Complications occurred following surgery, with cellulitis in the lower limb caused by Citrobacter Koseri, a gram-negative bacillus that is rarely implicated in soft tissue infections, and wound dehiscence. The purpose of our article is to present the difficulty involved in choosing the right treatment from among the many proposed in the literature, and to inform any practitioner working in an emergency setting about the existence of this often overlooked condition.

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Section: Discussionmentioning

confidence: 70%

Morel-Lavallée lesion associated with atypical skin damage: a case report

Luisetto¹,

Legrand²,

Vandromme³

et al. 2021

Acta Orthop Belg

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“…When pseudo capsules are formed, the local skin of the lesion will be rough and rugged. If not handled in time or handled improperly, infection and necrosis may occur in the local skin and subcutaneous tissue (6,7). Therefore, the lesion is often not recognized, resulting in missed diagnosis at the patients' first visit.…”

Section: Discussionmentioning

confidence: 99%

The treatment of a Morel-Lavallée lesion of the thigh with incision and drainage along with tissue debridement and a surgically placed drain: A case report and literature review

Chen²,

Ma³

et al. 2023

Front. Surg.

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BackgroundA Morel-Lavallée lesion (MLL) is a rare closed degloving injury that usually occurs around the hips and is associated with pelvic fractures after high-energy trauma, which is commonly overshadowed by other severe post-traumatic manifestations. An isolated MLL, mostly caused by low-energy violence, is even rarer. Thus, the rates of misdiagnosis and missed diagnosis are often high. In this case report and literature review, we review the pathophysiology, clinical manifestations, imaging data, and treatment of this lesion to increase awareness of this rare disease.Case reportWe report the case of an isolated MLL in the right thigh caused by trauma, which happened to be one of missed diagnosis both at the initial visit and at the return visit of the patient, with a significant sign of a mass on MRI. Given the size of the lesion, open debridement and irrigation were adopted to treat the lesion, and the patient recovered well post-operatively.ConclusionYoung surgeons should pay attention to the MLL with sufficient recognization to avoid missed diagnosis and misdiagnosis. Comprehensive physical examination and imaging data play important roles in the diagnosis of MLL. In the early stages of this injury, a detailed history review combined with physical examination and MRI, can reduce the rates of missed diagnosis and misdiagnosis. The choice of the therapeutic scheme depends on the size and severity of the lesion. For an isolated MLL, compared with conservative treatments, we suggest that incision and drainage, along with tissue debridement and a surgically placed drain, will reduce the rates of infection and recurrence.

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Two Cases of Morel-Lavallée Lesion Which Resulted in a Wide Skin Necrosis from a Small Laceration

Cited by 2 publications

References 6 publications

Morel-Lavallée lesion associated with atypical skin damage: a case report

Morel-Lavallée lesion associated with atypical skin damage: a case report

The treatment of a Morel-Lavallée lesion of the thigh with incision and drainage along with tissue debridement and a surgically placed drain: A case report and literature review

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