Davies Devin M, Mills Mandalyn
University of Missouri-Kansas City School of Medicine St. Joseph Campus, 5325 Faraon St., St. Joseph, MO 64506, United States.
Missouri University School of Medicine Rural Scholars Clinical Professor, University of Missouri-Kansas City School of Medicine Clinical Professor, Department of General Surgery Mosaic Life Care, 5325 Faraon St., St. Joseph, MO 64506, United States.
J Surg Case Rep. 2025 Jul 8;2025(7):rjaf483. doi: 10.1093/jscr/rjaf483. eCollection 2025 Jul.
Morel-Lavallee lesions (MLL) are closed soft tissue degloving injuries that are primarily associated with high impact blunt trauma. The prognosis of MLL is dependent on a variety of factors, mainly severity and extent of other injuries. There is no current standard treatment protocol. There have been few reported cases of MLL with associated perineal lacerations. Here, we report a case of a 44-year-old female with a gluteal MLL with complex perineal laceration and anal laceration following a motor vehicle collision. The MLL was treated with open irrigation and placement of Jackson-Pratt drains in the subcutaneous space followed by repair of the extensive laceration. The patient's post-operative course was complicated by wound dehiscence, and effectively treated with repeat debridement and local wound care. Our case details an approach for management and subsequent complication of this rare injury.
莫雷尔-拉瓦利损伤（MLL）是闭合性软组织脱套伤，主要与高能量钝性创伤相关。MLL的预后取决于多种因素，主要是其他损伤的严重程度和范围。目前尚无标准的治疗方案。关于伴有会阴撕裂伤的MLL报道病例较少。在此，我们报告一例44岁女性，在机动车碰撞后出现伴有复杂会阴撕裂伤和肛门撕裂伤的臀肌MLL。该MLL采用开放冲洗并在皮下间隙放置杰克逊-普拉特引流管，随后修复广泛撕裂伤进行治疗。患者术后出现伤口裂开并发症，并通过再次清创和局部伤口护理得到有效治疗。我们的病例详细介绍了这种罕见损伤的处理方法及后续并发症。
