闭合性内部脱套伤的诊断与处理：莫雷尔-拉瓦利损伤

Diagnosis and Management of Closed Internal Degloving Injuries: The Morel-Lavallée Lesion.

作者信息

Jalota Leena, Ukaigwe Anene, Jain Shashank

机构信息

Department of Pulmonary and Critical Care, University of California San Francisco - Fresno Medical Education Program, Fresno, California.

Department of Internal Medicine, Reading Health System, West Reading, Pennsylvania.

出版信息

J Emerg Med. 2015 Jul;49(1):e1-4. doi: 10.1016/j.jemermed.2014.12.084. Epub 2015 Apr 2.

DOI:10.1016/j.jemermed.2014.12.084

PMID:25843923

Abstract

BACKGROUND

Morel-Lavallée (ML) lesions are closed degloving injuries described as posttraumatic subcutaneous fluid collections. They are most commonly seen in the proximal thigh. They can present several days to months after the inciting event.

CASE REPORT

A 55-year-old woman with a recent admission for trauma presented to the Emergency Department with increasing swelling and pain in the right thigh for the previous 3 days. Ultrasound of the thigh was negative. Magnetic resonance imaging performed to further evaluate for leg swelling revealed a "Morel-Lavallée lesion" of the thigh that required drainage. The patient recovered completely after the surgery. WHY SHOULD THE EMERGENCY PHYSICIAN BE AWARE OF THIS?: Emergency physicians should be aware of these rare lesions because they are often mistaken for tumors or hematomas. Early recognition may avoid subsequent complications and help in obtaining prompt specialist care.

摘要

背景

莫雷尔 - 拉瓦利（ML）损伤是一种闭合性脱套伤，表现为创伤后皮下积液。最常见于大腿近端。它们可在致伤事件发生后的数天至数月出现。

病例报告

一名近期因创伤入院的55岁女性，因右大腿在过去3天肿胀和疼痛加剧而就诊于急诊科。大腿超声检查结果为阴性。为进一步评估腿部肿胀而进行的磁共振成像显示大腿有一个“莫雷尔 - 拉瓦利损伤”，需要引流。患者术后完全康复。急诊医生为何应了解此情况？：急诊医生应了解这些罕见损伤，因为它们常被误诊为肿瘤或血肿。早期识别可避免后续并发症，并有助于及时获得专科治疗。