Amaravathi U, Singh Shruti, Reddy Admala Anudeep, Mohammed M Anas, Ayyan S Manu
Department of Emergency Medicine, Jawaharlal Institute of Postgraduate Medical Education and Research, Pondicherry, India.
J Emerg Med. 2023 Jan;64(1):67-69. doi: 10.1016/j.jemermed.2022.10.012. Epub 2022 Nov 28.
Trauma patients present to the emergency department with various injuries. Few injuries can be easily missed during the evaluation of polytrauma patients. We report one such rare injury in a trauma patient.
We report the case of a 67-year-old man who presented to the emergency department with an alleged history of trauma. He reported severe pain in the lower abdomen, right hip, and right thigh. An x-ray study did not reveal any bony injury, and an extended focused assessment with sonography in trauma was also negative. Point-of-care ultrasound of his right thigh revealed the presence of a Morel-Lavallée lesion. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Morel-Lavallée lesions are post-traumatic, closed, degloving injuries that go unnoticed in many polytrauma patients. Emergency physicians should be mindful of this lesion because delay in diagnosis can result in significant complications.
创伤患者因各种损伤被送至急诊科。在多发伤患者评估过程中，很少有损伤会被轻易漏诊。我们报告一例创伤患者中此类罕见损伤的病例。
我们报告一名67岁男性病例，该患者因据称有创伤史而被送至急诊科。他自述下腹部、右髋部和右大腿剧烈疼痛。X线检查未发现任何骨质损伤，创伤超声重点评估扩展版检查结果也为阴性。其右大腿的床旁超声检查显示存在摩雷尔-拉瓦利损伤。急诊医生为何应知晓此情况？：摩雷尔-拉瓦利损伤是创伤后闭合性脱套伤，在许多多发伤患者中未被发现。急诊医生应留意这种损伤，因为诊断延迟可能导致严重并发症。
