Morel-Lavallee lesion (MLL) is a closed degloving injury resulting from blunt shearing or tangential forces. In this condition, hemolymph is collected in the closed space between the separated subcutaneous tissue and the underlying fascia. The clinical manifestation of MLL varies from soft fluctuant swelling to skin necrosis or wound sepsis. Due to its inconsistent clinical manifestations and delayed onset, it is rarely described. We present a case of a 28-month-old child who developed delayed MLL arising from pelvic fracture after a motor vehicle accident. In addition, we provide a review of MLL and describe rare cases of it in children.

Various methods have been introduced to assess the tissue volume because volumetric evaluation is recognized as one of the most important steps in reconstructive surgery. Advanced volume measurement methods proposed recently use three-dimensional images. They are convenient but have drawbacks such as requiring expensive equipment and volume-analysis software. The authors devised a volume measurement method using the Image J software, which is in the public domain and does not require specific devices or software packages. The orbital and breast volumes were measured by our method using Image J data from facial computed tomography (CT) and breast magnetic resonance imaging (MRI). The authors obtained the final volume results, which were similar to the known volume values. The authors propose here a cost-effective, simple, and easily accessible volume measurement method using the Image J software.

The authors' method for preoperatively measuring breast volume on three-dimensional simulated magnetic resonance imaging scans was both efficient and accurate. It would therefore be useful for achieving better aesthetic outcomes of breast reconstruction.