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瘀伤之外:通过四个典型病例对莫雷尔-拉瓦利埃损伤的放射学探索之旅

Beyond the Bruise: A Radiological Journey Into Morel-Lavallée Lesions Through Four Illustrative Cases.

作者信息

Subramonian Sakthi Ganesh, Seeni Mohamed Abdul Majith, Rashi Seetha, Ramaswami Sukumar, Ramakrishnan Karthik Krishna

机构信息

Department of Radiology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

Department of Interventional Radiology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.

出版信息

Cureus. 2024 Aug 4;16(8):e66110. doi: 10.7759/cureus.66110. eCollection 2024 Aug.

DOI:10.7759/cureus.66110
PMID:39229390
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11370703/
Abstract

Morel-Lavallée lesions (MLLs) are rare closed degloving injuries resulting from significant trauma. These lesions occur when a high-impact force causes separation of the skin and subcutaneous tissue from the underlying fascia, leading to hemolymphatic collections. Despite their clinical significance, MLLs are frequently underdiagnosed, often leading to improper management and recurrence. This case series explores four illustrative cases of MLLs, highlighting the critical role of MRI in accurate diagnosis and staging. Detailed imaging features and optimal treatment options are discussed to guide clinicians in providing the best possible care. By raising awareness and providing a comprehensive understanding of these lesions, this series aims to enhance early detection and appropriate intervention, ultimately improving patient outcomes and reducing the mental distress associated with recurrent lesions.

摘要

莫雷尔-拉瓦利损伤(MLLs)是由严重创伤导致的罕见闭合性脱套伤。当高冲击力导致皮肤和皮下组织与深层筋膜分离,进而形成血淋巴液积聚时,就会发生这些损伤。尽管MLLs具有临床意义,但它们常常被漏诊,这往往导致治疗不当和复发。本病例系列探讨了4例具有代表性的MLLs病例,强调了MRI在准确诊断和分期中的关键作用。文中讨论了详细的影像学特征和最佳治疗方案,以指导临床医生提供尽可能好的治疗。通过提高认识并全面了解这些损伤,本系列旨在加强早期检测和适当干预,最终改善患者预后并减轻与复发性损伤相关的精神痛苦。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/4a7550f28e5a/cureus-0016-00000066110-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/927dd92baa8e/cureus-0016-00000066110-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/86e996ed7201/cureus-0016-00000066110-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/81e6708a1b89/cureus-0016-00000066110-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/646f3a93d175/cureus-0016-00000066110-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/ebb52c3406eb/cureus-0016-00000066110-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/f20576483d35/cureus-0016-00000066110-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/5461b3d06ebc/cureus-0016-00000066110-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/4a7550f28e5a/cureus-0016-00000066110-i10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/927dd92baa8e/cureus-0016-00000066110-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/86e996ed7201/cureus-0016-00000066110-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/81e6708a1b89/cureus-0016-00000066110-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/646f3a93d175/cureus-0016-00000066110-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/ebb52c3406eb/cureus-0016-00000066110-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/f20576483d35/cureus-0016-00000066110-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/5461b3d06ebc/cureus-0016-00000066110-i09.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/26c6/11370703/4a7550f28e5a/cureus-0016-00000066110-i10.jpg

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本文引用的文献

1
A Complex Surgical Case of a Morel-Lavallee Lesion.一例复杂的莫雷尔-拉瓦利损伤外科病例。
Cureus. 2023 Nov 13;15(11):e48764. doi: 10.7759/cureus.48764. eCollection 2023 Nov.
2
Morel-Lavallée Lesion: Uncommon Injury often Missed.莫雷尔-拉瓦利埃损伤:一种常被漏诊的罕见损伤。
J Orthop Case Rep. 2022 Oct;12(10):57-60. doi: 10.13107/jocr.2022.v12.i10.3366.
3
Morel-Lavallée Lesions: A Diagnostic and Clinical Dilemma.莫雷尔-拉瓦利埃损伤:诊断与临床难题
Cureus. 2022 Aug 15;14(8):e28038. doi: 10.7759/cureus.28038. eCollection 2022 Aug.
4
Practical Review of the Comprehensive Management of Morel-Lavallée Lesions.莫雷尔-拉瓦利病变综合管理实践综述
Plast Reconstr Surg Glob Open. 2021 Oct 7;9(10):e3850. doi: 10.1097/GOX.0000000000003850. eCollection 2021 Oct.
5
Management of recurrent post-traumatic seroma of thigh (Morel-Lavallée lesion) by percutaneous aspiration and sclerotherapy using tetracyclines (PAST).经皮抽吸和四环素硬化治疗复发性大腿创伤后血清肿(Morel-Lavallée 病变)(PAST)。
BMJ Case Rep. 2021 Jan 18;14(1):e238804. doi: 10.1136/bcr-2020-238804.
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Conservative management of Morel-Lavallée lesion: a case study.莫雷尔-拉瓦利埃损伤的保守治疗:一项病例研究。
J Can Chiropr Assoc. 2019 Dec;63(3):178-186.
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Imaging Features of Morel-Lavallée Lesions.莫雷尔-拉瓦利埃损伤的影像学特征。
J Belg Soc Radiol. 2017 Dec 16;101(Suppl 2):15. doi: 10.5334/jbr-btr.1401.
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The Morel-Lavallée lesion and its management: A review of the literature.莫雷尔-拉瓦利损伤及其治疗:文献综述
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[Diagnostic and Treatment Strategies in Morel-Lavallee Lesions in the Spinal Column and Pelvis].[脊柱和骨盆部莫雷尔-拉瓦利损伤的诊断与治疗策略]
Z Orthop Unfall. 2018 Oct;156(5):541-546. doi: 10.1055/a-0596-8018. Epub 2018 Apr 12.
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Ultrasound Utility in the Diagnosis of a Morel-Lavallée Lesion.超声在诊断莫雷尔-拉瓦利埃损伤中的应用
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