Journal of Trauma and Injury

The Korean Society of Traumatology (대한외상학회)
권호 표지
DOI QR코드

DOI QR Code

Rare complication of skin necrosis after endoscopic debridement and cutaneo-fascial suture for a massive Morel-Lavallée lesion in Korea: a case report

  • Youngmin Kim (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Jayun Cho (Department of Trauma Surgery, Gachon University Gil Medical Center) ;
  • Myung Jin Jang (Department of Traumatology, Gachon University College of Medicine) ;
  • Kang Kook Choi (Department of Trauma Surgery, Gachon University Gil Medical Center)
  • Received : 2023.02.07
  • Accepted : 2023.05.30
  • Published : 2023.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

A Morel-Lavallée lesion (MLL) is a pathologic fluid collection within an abnormally formed space, resulting from an internal degloving injury between the muscle fascia and subcutaneous fat layer. Due to its resistance to conservative treatments such as drainage or compression dressing, various therapeutic methods have been developed for MLL. However, no standardized guidelines currently exist. Recently, endoscopic debridement and cutaneo-fascial suture (EDCS) has been introduced for the treatment of MLL, particularly for large lesions resistant to conservative approaches. While this procedure is known to be effective, limited reports are available on potential complications. The authors present a case of skin necrosis following EDCS for a massive MLL.

Keywords

References

  1. Agrawal U, Tiwari V. Morel Lavallee lesion. StatPearls; 2023. 
  2. Seo BF, Kang IS, Jeong YJ, Moon SH. A huge Morel-Lavallee lesion treated using a quilting suture method: a case report and review of the literature. Int J Low Extrem Wounds 2014;13:147-51.  https://doi.org/10.1177/1534734614529652
  3. Molina BJ, Ghazoul EN, Janis JE. Practical review of the comprehensive management of Morel-Lavallee lesions. Plast Reconstr Surg Glob Open 2021;9:e3850. 
  4. Kim S. Endoscopic treatment of Morel-Lavallee lesion. Injury 2016;47:1064-6.  https://doi.org/10.1016/j.injury.2016.01.029
  5. Koc BB, Somorjai Kiesouw EP, et al. Endoscopic debridement and fibrin glue injection of a chronic Morel-Lavallee lesion of the knee in a professional soccer player: a case report and literature review. Knee 2017;24:144-8.  https://doi.org/10.1016/j.knee.2016.10.017
  6. Walls A, McMahon SE, MacDonald J, Bunn J. Endoscopic surgical management of a large Morel-Lavallee lesion. BMJ Case Rep 2017;2017:bcr2017221343. 
  7. Liu M, Liu L, Zhou X, et al. A novel surgical technique for treatment of Morel-Lavallee lesion: endoscopic debridement combined with percutaneous cutaneo-fascial suture. Injury 2018;49:1630-3.  https://doi.org/10.1016/j.injury.2018.06.003
  8. Chan YL, Lui TH. Endoscopic resection of chronic Morel-Lavallee lesion of the knee. Arthrosc Tech 2021;10:e1915-9.  https://doi.org/10.1016/j.eats.2021.04.015
  9. Anakwenze OA, Trivedi V, Goodman AM, Ganley TJ. Concealed degloving injury (the Morel-Lavallee lesion) in childhood sports: a case report. J Bone Joint Surg Am 2011;93:e148. 
  10. Cruz N, Jimenez R. Morel-Lavallee lesion diagnosed 25 years after blunt trauma. Int J Surg Case Rep 2021;81:105733. 
  11. Huang W, Luo Y, Yang E. Application of channel screw combined with skin-stretching technique in treatment of pelvic fracture with severe Morel-Lavallee lesion. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021;35:973-7. 
  12. Demirel M, Dereboy F, Ozturk A, Turhan E, Yazar T. Morel-Lavallee lesion: results of surgical drainage with the use of synthetic glue. Saudi Med J 2007;28:65-7.
  13. Seo BF, Jung SN, Sohn WI, Kwon H. Lymph node compression of the lesser occipital nerve: a cause of migraine. J Plast Reconstr Aesthet Surg 2011;64:1657-60.  https://doi.org/10.1016/j.bjps.2011.04.007
  14. Wei D, Wang Y, Yuan J, et al. One-stage operation for pelvis and acetabular fractures combined with Morel-Lavallee injury by internal fixation associated with vacuum sealing drainage. Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2014;28:38-42. 
  15. Nickerson TP, Zielinski MD, Jenkins DH, Schiller HJ. The Mayo Clinic experience with Morel-Lavallee lesions: establishment of a practice management guideline. J Trauma Acute Care Surg 2014;76:493-7. https://doi.org/10.1097/TA.0000000000000111