Morel-Lavallée Lesion

  • Filipa Vieira Hospital de Braga
  • Teresa Dionísio Hospital de Braga
  • Diogo Rocha Hospital de Braga
  • Carlos Pina Vaz Hospital de Braga

Resumo

Morel-Lavallée lesion is a closed degloving injury that results of separation of skin and subcutaneous tissue from the underlying fascia. This lesion is more common on the thigh and trauma is the most frequent cause. MRI is the preferred imaging technique for its evaluation. Early detection is important to avoid complications such as bacterial growth or extensive skin necrosis.
The authors report two cases of Morel-Lavallée lesions, one in a patient with a painless mass on the thigh after a traffic accident and another in a young football player with a painful swelling on the thigh with fluctuation.

Biografias do Autor

Filipa Vieira, Hospital de Braga
Serviço de Imagiologia
Teresa Dionísio, Hospital de Braga
Serviço de Imagiologia
Diogo Rocha, Hospital de Braga
Serviço de Imagiologia
Carlos Pina Vaz, Hospital de Braga
Serviço de Imagiologia

Referências

Bonilla-Yoon I, et al. The Morel-Lavallée lesion: pathophysiology, clinical presentation, imaging features, and treatment options. Emerg Radiol. 2014 Feb;21:35-43.

Tejwani SG, Cohen SB, Bradley JP. Management of Morel-Lavallée lesion of the knee: twenty-seven cases in the national football league. Am J Sports Med. 2007;35:1162-7.

Kontis E, et al. Morel-lavallée lesion: report of a case of unknown mechanism. Case Rep Surg. 2015;2015:947450.

Mallado JM, Bencardino JT. Morel-Lavellee lesion: Review with Emphasis on MR imaging. Magn Reson Imaging Clin N Am. 2005;13:775–82.

Carlson DA, Smmons J, Sando W, et al. Morel-Lavalee lesions treated with debridement and meticulous dead space closure: surgical technique. J Orthop Trauma. 2007;21:140-4.

Bansal A, Bhatia N, Singh A, Singh AK. Doxycycline sclerodesis as a treatment option for persistent Morel-Lavallee lesions. Injury. 2013;44:66-9.

Publicado
2017-10-17
Secção
Casos Clínicos