Morel-lavallee seroma: a review of two cases in the lumbar region in the adolescent

Sawkar, Anisha A.; Swischuk, Leonard E.; Jadhav, Siddharth P.

doi:10.1007/s10140-011-0975-2

Cited by 27 publications

(39 citation statements)

References 13 publications

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“…Larger acute lesions which do not resolve by compression alone may require percutaneous drainage. Percutaneous drainage when combined with sclerotherapy may also be used as a first-line treatment modality for chronic lesions13 20 22 27 because percutaneous drainage alone may lead to recurrent postoperative haematoma and secondary infection 26. Sclerotherapy may also be used in acute lesions which are refractory to conservative management 14 19 21.…”

Section: Discussionmentioning

confidence: 99%

Morel-Lavallee seroma (post-traumatic pseudocyst) of back: a rarity with management conundrum

et al. 2016

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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.

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Section: Discussionmentioning

confidence: 99%

Morel-Lavallee seroma (post-traumatic pseudocyst) of back: a rarity with management conundrum

et al. 2016

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“…This lesion is a collection of serous fluid that develops after closed degloving injuries and after surgical procedures particularly in the pelvis and abdomen. 1 Unlike other postoperative seromas, MLL lesions form in closed cavities. These injuries usually occur over the hip, thigh, lumbar regions, and over the scapula.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 The female-to-male ratio is around 12:1, and it is speculated that this is because of the abundant distribution of fat in the pelvic, lumbar, and thigh regions in females. 1 The pathophysiology of this soft tissue injury is initiated by the deforming forces of pressure and shear, which cause separation of the relatively mobile skin and subcutaneous fat tissue from the less yielding fascia, and disruption of perforating vessels. 1 The perifascial plane may then be filled with blood, lymph, and necrotic fat, which may later be encapsulated.…”

Section: Discussionmentioning

confidence: 99%

A Huge Morel-Lavallée Lesion Treated Using a Quilting Suture Method

Seo

Kang

Jeong

et al. 2014

The International Journal of Lower Extremity Wounds

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The Morel-Lavallée lesion is a collection of serous fluid that develops after closed degloving injuries and after surgical procedures particularly in the pelvis and abdomen. It is a persistent seroma and is usually resistant to conservative methods of treatment such as percutaneous drainage and compression. Various methods of curative treatment have been reported in the literature, such as application of fibrin sealant, doxycycline, or alcohol sclerodhesis. We present a case of a huge recurrent Morel-Lavallée lesion in the lower back and buttock region that was treated with quilting sutures, fibrin sealant, and compression, with a review of the literature.

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“…Percutaneous drainage can be used to manage larger acute lesions that cannot be resolved with a single application of compression bandages. It may also be attempted along with sclerotherapy as a first-line therapy in patients with chronic lesions [17,24,26,31]. Talc sclerotherapy was introduced by Luria et al [23] in 2007.…”

Section: Discussionmentioning

confidence: 99%

Morel-lavallee lesion in children

et al. 2013

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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.

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Morel-lavallee seroma: a review of two cases in the lumbar region in the adolescent

Cited by 27 publications

References 13 publications

Morel-Lavallee seroma (post-traumatic pseudocyst) of back: a rarity with management conundrum

Morel-Lavallee seroma (post-traumatic pseudocyst) of back: a rarity with management conundrum

A Huge Morel-Lavallée Lesion Treated Using a Quilting Suture Method

Morel-lavallee lesion in children

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