Resident in General Surgery, Department of Surgery, NYU Langone Hospital Long Island, New York, USA.
Medical Student, King Edward Medical University, Lahore, Pakistan.
J Coll Physicians Surg Pak. 2021 Mar;31(3):342-345. doi: 10.29271/jcpsp.2021.03.342.
Morel-Lavallée lesion is a post-traumatic degloving cyst, usually filled with blood, lymph or necrotic tissue, which mostly develops in the area around greater trochanter. Early diagnosis and prompt treatment is essential to prevent further complications, such as compression of surrounding structures. X-rays have limited use and magnetic resonance imaging (MRI) is the modality of choice in diagnosing the lesion. We report a case of a 35-year female presenting with left thigh pain after a fall from motorcycle almost 21/2 years ago. Ultrasound and MRI confirmed the presence of Morel-Lavallée lesion involving the left pelvis and upper thigh. Given the chronicity of lesion and extensive tissue involvement, the patient underwent surgical excision of the lesion with favourable long-term outcomes. In this case report and literature review, we discuss the pathophysiology, clinical presentation, radiological findings and management options for Morel-Lavallée lesion. Key Words: Morel-Lavallée lesion, Post-traumatic cyst, Degloving Injury, Tangential cyst.
莫莱尔-拉瓦列氏损伤是一种创伤后撕脱性囊肿，通常充满血液、淋巴液或坏死组织，主要发生在大转子周围区域。早期诊断和及时治疗对于预防进一步的并发症（如周围结构受压）至关重要。X 射线的用途有限，磁共振成像（MRI）是诊断病变的首选方式。我们报告了一例 35 岁女性病例，她在 2 年半前因从摩托车上摔下而出现左大腿疼痛。超声和 MRI 证实存在莫莱尔-拉瓦列氏损伤，累及左侧骨盆和大腿上部。鉴于病变的慢性和广泛的组织受累，患者接受了病变的手术切除，结果良好。在本病例报告和文献复习中，我们讨论了莫莱尔-拉瓦列氏损伤的病理生理学、临床表现、影像学发现和治疗选择。关键词：莫莱尔-拉瓦列氏损伤；创伤后囊肿；撕脱伤；切线囊肿。
