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2025, Number 1

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Cir Gen 2025; 47 (1)

Lumbar Morel-Lavallée lesion

González ZRJ, García RLE
Full text How to cite this article 10.35366/119612

DOI

DOI: 10.35366/119612
URL: https://dx.doi.org/10.35366/119612

Language: Spanish
References: 12
Page: 43-47
PDF size: 290.68 Kb.


Key words:

Morel- Lavallée lesion, traumatism, lumbar, degloving injuries, ultrasonography.

ABSTRACT

Morel-Lavallée lesion is a rare entity that is produced by a shearing effect that separates the subcutaneous cellular tissue from de fascia, leading to accumulation of hematic and lymphatic material. We report the clinical case of a female patient who suffered a high energy trauma and was diagnosed with a lumbar Morel-Lavallée lesion and hypovolemic shock grade II. We perform an open surgical drainage of the lesion, with satisfactory clinical evolution. Untreated lesions can cause pain, infection or growing subcutaneous mass that can hinder it management and diagnosis.


REFERENCES

  1. Scolaro JA, Chao T, Zamorano DP. The Morel-Lavallée lesion: diagnosis and management. J Am Acad Orthop Surg. 2016; 24: 667-672.

  2. Moune MY, Djoubairou BO, Mboka F, Viche Y, El Ouahabi A. Lumbar Morel-Lavallée lesion: a case report and review of the literature. J Med Case Rep. 2023; 17: 198.

  3. Sawkar AA, Swischuk LE, Jadhav SP. Morel-Lavallée seroma: a review of two cases in the lumbar region in the adolescent. Emerg Radiol. 2011; 18: 495-498.

  4. Efrimescu CI, McAndrew J, Bitzidis A. Acute lumbar Morel-Lavallée haematoma in a 14-year-old boy. Emerg Med J. 2012; 29: 433.

  5. Moran DE, Napier NA, Kavanagh EC. Lumbar Morel-Lavallée effusion. Spine J. 2012; 12: 1165-1166.

  6. Garrison M, Westrick RB, Johnson MR. Morel-Lavallée lesion of the lumbar region. J Orthop Sports Phys Ther. 2014; 44: 223.

  7. Buyukkaya A, Gunes H, Ozel MA, Buyukkaya R, Onbas O, Santas A. Lumbar Morel-Lavallée lesion after trauma: a report of 2 cases. Am J Emerg Med. 2015; 33: 1116.e5-e6.

  8. Greenhil D, Haydel C, Rehman S. Management of the Morel-Lavallée lesion. Orthop Clin North Am. 2016; 47: 115-125.

  9. Mellado JM, Bencardino JT. Morel-Lavallée lesion: review with emphasis on MR imaging. Magn Reson Imaging Clin N Am. 2005; 13: 775-782.

  10. Nickerson TP, Zeilinski MD, Jemkins DH, Schiller HJ. The Mayo clinic experience whit Morel-Lavallée lesions: establishment of a practice management guideline. J Trauma Acute Care Surg. 2014; 76: 493-497.

  11. Zairi F, Wang Z, Shedid D, Boubez G, Sunna T. Lumbar Morel-Lavallée lesion: case report and review of the literature. Orthop Traumatol Surg Res. 2016; 102: 525-527.

  12. Dawre S, Lamba S, Gupta S, Gupta AK. The Morel Lavallée lesion: a review and a proposed algorithmic approach. Eur J Plast Surg. 2012; 35: 489-494.




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Cir Gen. 2025;47