颈胸型滑囊损伤。
Cervico-thoracic Morel-Lavallée lesion.
机构信息
Trauma and Orthopaedics, Cwm Taf Morgannwg University Health Board, Abercynon, UK
Trauma and Orthopaedics, Cwm Taf Morgannwg University Health Board, Abercynon, UK.
出版信息
BMJ Case Rep. 2023 Nov 17;16(11):e253510. doi: 10.1136/bcr-2022-253510.
Morel-Lavallée lesions (MLLs) result from high-energy trauma causing separation of subcutaneous tissue from the underlying tissue, most commonly in the gluteal region or thigh.We report the case of a woman in her 40s with a fluctuant collection of the cervico-thoracic region following trauma. Further imaging identified an MLL. An orthoplastic approach resulted in non-operative management with a spinal brace. Three months from initial injury, the lesion completely resolved. She was symptom free at final follow-up and discharged.We present the only recorded case of MLL developing in the cervico-thoracic region. Management posed difficultly as no literature currently exists. We demonstrated conservative management for cervico-thoracic MLL can be effective.We have described the first documented case of cervico-thoracic MLL. MLL is not exclusive to pelvic injuries and can develop in the cervico-thoracic region. We have shown conservative management is a viable treatment of atypical MLL.
马雷尔-拉瓦利氏损伤（MLL）是由高能量创伤引起的，导致皮下组织与下面的组织分离，最常见于臀部或大腿。我们报告了一例 40 多岁女性在创伤后出现颈胸区波动性积液。进一步的影像学检查发现 MLL。采用矫形方法，使用脊柱支架进行非手术治疗。初次损伤后 3 个月，病变完全消退。最终随访时患者无症状，已出院。我们提出了 MLL 仅在颈胸区发生的唯一记录病例。由于目前尚无相关文献，因此管理具有一定难度。我们证明，颈胸 MLL 的保守治疗可能是有效的。我们描述了首例有记录的颈胸 MLL 病例。MLL 不仅限于骨盆损伤，也可能发生在颈胸区。我们已经证明，保守治疗是治疗非典型 MLL 的一种可行方法。
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