scholarly journals A Rare Cause of Septic Shock Secondary to Trauma: Morel Lavallée Lesion - Case Report

2021 ◽  
Author(s):  
Mehmet Gunay ◽  
Baran Mollavelıoglu ◽  
Kaan Ali Fuat Gok ◽  
Mehmet Ilhan ◽  
Cemalettın Ertekın
Keyword(s):  
Septic Shock ◽  
Case Report ◽  
Fluid Collection ◽  
Rare Presentation ◽  
Multiple Rib Fractures ◽  
Degloving Injury ◽  
Closed Degloving Injury ◽  
Closed Degloving ◽  
Fluid Collections ◽  
Gcs Score

Abstract Introduction Morel Lavallée lesion is a hemolymphatic collection in between muscular fascia that can be caused by the separation of soft tissue and muscular fascia in degloving fashion. Morel Lavallée lesion is an infrequent lesion but should be known for medico-legal reports Morel Lavallée is a rare presentation that can cause life-threatening septic and hemorrhagic shock. Case PresentationIn this case report we are going present Morel Lavallée lesion which can present with septic shock and bleeding and can be mortal. Our patient, fourty seven years old male, arrived at the emergency department with an ambulance 1 hour after an extravehicular traffic accident. Apart from a right hemopneumothorax with multiple rib fractures, grade 2 laceration in spleen and bilateral kidneys, zone 2 fracture of sacrum, computer tomography (CT) revealed a closed, degloving injury of the pelvis , also known as a Morel-Lavallée lesion. On CT, Morel Lavallée lesion appear as well-defined, encapsulated fluid collections that occasionally show fluid fluid levels .. Heavy fluid collection was detected in control CT which was actually a collection infected hematoma in the operative setting. Patient was diagnosed in the first 12 hours and necrotic tissues were debrided. Patient was considered deceased after 15 days without any improvement in his GCS score.ConclusionsThere is one report that describe mortality after Morel Lavallée lesion in the autopsy setting. Early diagnosis and treatment are essential to decrease severity of necrosis and sepsis though our patient has deceased due to complications of sepsis

scholarly journals Understanding the “Empty Toe” Phenomenon: A Rare Case Report

2021 ◽  
Vol 111 (2) ◽  
Author(s):  
Nicholas V. DiMassa ◽  
Erik K. Monson ◽  
Kimberly S. Cravey
Keyword(s):  
Case Report ◽  
Rare Case ◽  
Medical Literature ◽  
Review Of The Literature ◽  
Detailed Review ◽  
Soft Tissue Envelope ◽  
Degloving Injury ◽  
Rare Case Report ◽  
Closed Degloving Injury ◽  
Closed Degloving

Closed degloving injury involving a toe represents a rare phenomenon in which the bones of the toe dislocate but the soft-tissue envelope remains intact. It has been described sparingly throughout the medical literature, and outcomes have been poor. This article presents a case report of the unique injury while also investigating trends through a detailed review of the literature.

scholarly journals Identification and triage of a Morel-Lavallée lesion using point of care ultrasound

Ultrasound ◽  
2021 ◽  
pp. 1742271X2110019
Author(s):  
David R Annison ◽  
Mike Smith
Keyword(s):  
Case Report ◽  
Point Of Care ◽  
Point Of Care Ultrasound ◽  
Shoulder Injury ◽  
Severe Injuries ◽  
Face To Face ◽  
Degloving Injury ◽  
Closed Degloving Injury ◽  
One Stop ◽  
Closed Degloving

Introduction A Morel-Lavallée lesion is a relatively rare, closed, degloving injury. Polytrauma and severe injuries through to seemingly innocuous trauma can distract the clinician from thorough assessment of the affected site. Missed or misdiagnosis of the closed lesion is reported from both a clinical and imaging perspective. Case report A 46-year-old male is discharged from accident and emergency with a shoulder injury following a cycling accident. Ten days post trauma, an advanced practice physiotherapist suspects a lateral thigh Morel-Lavallée lesion during a telephone assessment (Covid-19 restrictions). A face to face appointment with imaging the following day confirmed the suspicion. Discussion The aetiology, imaging and clinical management of a Morel-Lavallée lesion is discussed. The addition of diagnostic ultrasound skills to clinical assessment in this case report may have improved patient care and experience by offering a ‘one stop shop’ to care. Formal training in musculoskeletal ultrasound imaging is emphasised. Conclusion Thorough history taking, clinical reasoning and subsequent application of robust imaging led to the identification of a Morel-Lavellée lesion and, in this case, highlights the value of a point of care ultrasound model in a triage setting.

scholarly journals Morel-Lavallée lesion in a ‘non-traumatic’ thigh: a diagnostic challenge!

2019 ◽  
Vol 18 (1) ◽  
pp. 145-148
Author(s):  
Devesh Sanjeev Ballal ◽  
Balaji Jayasankar ◽  
Gabriel Rodrigues ◽  
Ranjini Kudva
Keyword(s):  
Soft Tissue ◽  
Medical Science ◽  
Surgical Excision ◽  
Diagnostic Challenge ◽  
Soft Tissue Neoplasm ◽  
Diagnostic Dilemma ◽  
Degloving Injury ◽  
Closed Degloving Injury ◽  
History Of ◽  
Closed Degloving

Background: Morel-Lavallée Lesion (MLL) or Morel-Lavallée Seroma (MLS) is a posttraumatic seroma that occurs following a closed degloving injury. It is very important for trauma surgeons to be aware of this relatively rarely reported entity as early diagnosis increases the likelihood of successful management. Case report: We present a patient, wherein the patient had no history of trivial trauma and presented with a gradually growing swelling of left thigh, that was clinically and radiologically diagnosed as a soft tissue neoplasm, successfully managed by surgical excision and were reported to be a MLS. The clinical diagnostic dilemma was solved by the histopathologist! Conclusion: A differential diagnosis of MLL should be kept in mind in patients presenting with soft tissue swellings. Bangladesh Journal of Medical Science Vol.18(1) 2019 p.145-148

scholarly journals A rare case of closed degloving injury of the fifth toe

2020 ◽  
Vol 30 ◽  
pp. 100358
Author(s):  
Konstantinos Kateros ◽  
Georgios Kyriakopoulos ◽  
Maria Vlachou ◽  
Leon Oikonomou ◽  
Stamatios Papadakis ◽  
...  
Keyword(s):  
Rare Case ◽  
Degloving Injury ◽  
Closed Degloving Injury ◽  
Fifth Toe ◽  
Closed Degloving

scholarly journals Huge scalp Morel-Lavallée lesion with eye involvement in a 3-year-old girl: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Claude Kasereka Masumbuko ◽  
Gabriel Kambale Bunduki ◽  
Mupenzi Mumbere
Keyword(s):  
Subcutaneous Tissue ◽  
Fluid Collection ◽  
Rare Presentation ◽  
Black African ◽  
Delay In Diagnosis ◽  
Diagnosis And Management ◽  
The Face ◽  
Subcutaneous Tissues ◽  
Closed Degloving ◽  
Degloving Injuries

Abstract Background Morel-Lavallée lesions are posttraumatic, closed degloving injuries in which the skin and subcutaneous tissue are separated abruptly from superficial underlying fascia. This condition leads to an effusion containing hemolymph and necrotic fat. Magnetic resonance imaging, when available, is the modality of choice in the evaluation of Morel-Lavallée lesion. Early diagnosis and management is essential as any delay in diagnosis or missed lesion will lead to the effusion becoming infected or leading to extensive skin necrosis. We present a condition of a Morel-Lavallée lesion involving the scalp and complicated by conjunctival chemosis. Case presentation We report on a 3-year-old black African girl who presented a fluctuant swelling of entire scalp, extending to upper part of the face on the seventh day after a forehead trauma due to falling on a rock while playing. Skull x-ray revealed soft-tissue swelling, giving an impression of large fluid collection in the deep subcutaneous tissues with no bone fracture. A diagnosis of Morel-Lavallée lesion of the scalp complicated by conjunctival chemosis was made. The patient was managed with percutaneous drainage and compression bandage. The patient improved well and was subsequently discharged without any vision impairment. There was no recurrence of the lesion on follow-up. Conclusions The Morel-Lavallée lesion of the scalp complicated with conjunctival chemosis is a rare presentation of this condition. Prompt diagnosis and management are crucial for preventing complications. Image-guided diagnosis and treatment still remain a challenge in the setting of low-resource health facilities.

Empty toe: a unique type of closed degloving injury with dismal outcome

2013 ◽  
Vol 31 (1) ◽  
pp. 263.e1-263.e3 ◽  
Author(s):  
Chen-Ling Tang ◽  
Su-Shin Lee ◽  
Tsung-Ying Lin ◽  
Yen-Ko Lin ◽  
Yung-Sung Yeh ◽  
...  
Keyword(s):  
Unique Type ◽  
Degloving Injury ◽  
Closed Degloving Injury ◽  
Closed Degloving

scholarly journals Subdural fluid collection and hydrocephalus following cervical schwannoma resection: hydrocephalus resolution after spinal pseudomeningocele repair: case report

2016 ◽  
Vol 25 (6) ◽  
pp. 762-765 ◽  
Author(s):  
Nicola Benedetto ◽  
Federico Cagnazzo ◽  
Carlo Gambacciani ◽  
Paolo Perrini
Keyword(s):  
Cerebrospinal Fluid ◽  
Case Report ◽  
Clinical Symptoms ◽  
Obstructive Hydrocephalus ◽  
Fluid Collection ◽  
Flow Dynamics ◽  
Subdural Fluid Collection ◽  
Ventricular Dilation ◽  
Cerebrospinal Fluid Flow ◽  
Fluid Collections

The authors report the case of a 31-year-old man who developed neck pain and headache 2 months after the uncomplicated resection of a cervical schwannoma. MR imaging revealed infratentorial subdural fluid collections and obstructive hydrocephalus associated with cervical pseudomeningocele. The clinical symptoms, subdural fluid collections, and ventricular dilation resolved after surgical correction of the pseudomeningocele. This report emphasizes that hydrocephalus may be related to disorders of cerebrospinal fluid flow dynamics induced by cervical pseudomeningocele. In these rare cases, both the hydrocephalus and the symptoms are resolved by the simple correction of the pseudomeningocele.

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