Özgen KIVANÇ, Erkan KURAL, Barış ALTAYLI, İnci GÖKALAN KARA

Morel-Lavallee sendromu: cilt nekrozu ile seyreden Morel Lavallee lezyonu

Morel-Lavallee Sendromu (MLS), subkutan dokunun altta yatan fasyadan künt bir travmayla ayrıldığı (kapalı degloving), oldukça nadir görülen yumuşak bir doku travmasıdır. Nadir görülen bir durumdur ve genellikle büyük trokanter, kanat, kalça ve lumbodorsal bölgelerde görülür. Erken tanı durumunda konservatif tedavi yöntemleri yoluyla iyileşme sağlanırken, tanı koymada gecikme durumunda, efüzyon enfekte olmakta, geniş bir cilt nekrozuna yol açarak morbiditeyi artırmaktadır. Bu çalışmada, sağ uyluk lateral, trokanterik, ve lumbosakral bölgelerde geniş ve cilt nekrozu ile seyreden MLS Lezyonu olgusu ortaya konulmaktadır.

Morel-Lavallee syndrome: morel-Lavallee lesion with skin necrosis

Morel-Lavallee Syndrome (MLS) is a rare soft tissue trauma in which the subcutaneous tissue is separated from the underlying fascia (closed degloving) due to a blunt trauma. It is a rare condition and usually seen in large trochanter, flank, hip and lumbodorsal regions. Early diagnosis achieves the treatment by conservative methods, if the diagnosis delayed, the effusion becomes infected and increases the morbidity by causing wide skin necrosis. In this article, we present a case of Morel-Lavallee lesion in the right thigh lateral, trochanteric, and lumbosacral region with a wide and skin necrosis.

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1. Muneer M, El Menyar A, Abdelrahman H, et al. Clinical presentation and management of pelvic Morel- Lavallee injury in obese patients. J Emerg Trauma Shock 2019;12:40-47. https://doi.org/10.4103/JETS. JETS_37_18
2. Mellado JM, Bencardino JT. Morel-Lavallée lesion: review with emphasis on MR imaging. Magnetic resonance imaging Clin N Am 2005;13:775-782.
3. Mellado JM, Pérez del Palomar L, Díaz L, Ramos A, Saurí A. Long-standing Morel-Lavallée lesions of the trochanteric region and proximal thigh: MRI features in five patients. AJR. American journal of roentgenology 2004;182:1289-1294. https://doi.org/10.2214/ ajr.182.5.1821289
4. Hak DJ, Olson SA, Matta JM. Diagnosis and management of closed internal degloving injuries associated with pelvic and acetabular fractures: the Morel-Lavallée lesion. The Journal of Trauma 1997;42:1046-1051. https://doi.org/10.1097/00005373-199706000-00010
5. Moran DE, Napier NA, Kavanagh EC. Lumbar Morel- Lavallée effusion. Spine J 2012;12:1165-1166. https:// doi.org/10.1016/j.spinee.2012.11.019
6. Weiss NA, Johnson JJ, Anderson SB. Morel-Lavallee lesion initially diagnosed as quadriceps contusion: ultrasound, MRI, and importance of early intervention. West J Emerg Med 2015;16:438-441. https://doi. org/10.5811/westjem.2015.3.25148
7. Parra JA, Fernandez MA, Encinas B, Rico M. Morel- Lavallée effusions in the thigh. Skeletal Radiol 1997;26:239-241.
8. Gummalla KM, George M, Dutta R. Morel-Lavallee lesion: case report of a rare extensive degloving soft tissue injury. Ulus Travma Acil Cerrahi Derg 2014;20:63- 65. https://doi.org/10.5505/tjtes.2014.88403
9. Singh R, Rymer B, Youssef B, Lim J. The Morel- Lavallée lesion and its management: a review of the literature. J Orthop 2018;15:917-921. https://doi. org/10.1016/j.jor.2018.08.032