Morel-Lavallee seroma (MLS) or post-traumatic pseudocyst is a soft tissue seroma developing due to closed degloving injury by a shearing force that causes separation of subcutaneous fatty layer from the deeper muscular fascia resulting in collection of fluid in the created space. Presentation is usually fluctuant swelling following history of injury. More frequently described in orthopaedic literature, it occurs more commonly over gluteal and trochanteric regions, knee and flanks with occurrence over back, thorax being a rare entity. Despite mimicking several other similar presenting conditions, diagnosis of MLS can be made by meticulous history and physical examination with classical findings on ultrasonography, CT scan and MRI. Treatment modality may vary from conservative management to open surgical debridement of the wound with percutaneous aspiration and sclerodhesis forming useful adjuncts to conservative management.

Abstract:Filariasis, a parasitic infection caused by Wuchereria brancrofti, is common in Northern India and most common cause of secondary lymphedema. Dreaded complication of chronic lymphedema is lymphangiosarcoma. In our case, prolonged standing elephantiasis for about 2 decades leads to development of squamous cell carcinoma. Squamous cell carcinoma is a potentially lethal entity and awareness of association can lead to early intervention. We will discuss the management and possible pathogenesis of this unusual case.

No abstract