Boushnak Mohammad O, Rabah Hussein, Saleh Mohammad H, Aaraj George Al, Hajjar Samer, Moussa Mohamad K
Department of Orthopedic Surgery, Lebanese Military Hospital, Beirut, Lebanon.
Department of Internal Medicine, Staten Island University Hospital, Staten Island, United States.
J Orthop Case Rep. 2021 May;11(5):92-95. doi: 10.13107/jocr.2021.v11.i05.2222.
Morel-Lavallée (MLL) is an uncommon entity that is missed by many physicians, it is the result of a shearing force that leads to degloving of the subcutaneous fat from the underlying deep fascia.
We present a case of a 15-year-old male patient who presented 3 months after the initial crush injury with a large MLL lesion at the lateral aspect of the right proximal thigh. He was treated with incision and drainage with compressive dressing and a negative pressure drain.
Diagnosis of MLL is usually clinical and can be aided with radiological tools like MRI that is the gold standard of imaging in this lesion. Several treatment options are available, ranging from conservative treatment with compressive bandages to percutaneous drainage, injection of sclerotic agents, and surgical treatment with incision, drainage, and debridement. Diagnosis and treatment should be familiar to all caregivers to prevent further complications that could be life or organ-threatening.
莫雷尔-拉瓦利（Morel-Lavallée）损伤（MLL）是一种不常见的病症，许多医生都会漏诊，它是由剪切力导致皮下脂肪与深层筋膜分离所致。
我们报告一例15岁男性患者，在初次挤压伤3个月后，右大腿近端外侧出现一个巨大的莫雷尔-拉瓦利损伤病灶。对其进行了切开引流，并用加压敷料和负压引流管治疗。
莫雷尔-拉瓦利损伤的诊断通常依靠临床判断，可借助MRI等影像学工具辅助诊断，MRI是该损伤的影像学诊断金标准。有多种治疗选择，从使用加压绷带的保守治疗到经皮引流、注射硬化剂，以及切开、引流和清创的手术治疗。所有护理人员都应熟悉其诊断和治疗方法，以预防可能危及生命或器官的进一步并发症。
