• Title/Summary/Keyword: Morel

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Morel-Lavallee lesion: A Case Report (Morel-Lavallee 병변 1례)

  • Hu, Jung-Woo;Kwon, Ho;Jung, Sung-No;Son, Won Il;Moon, Suk Ho
    • Archives of Plastic Surgery
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    • v.36 no.3
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    • pp.341-343
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    • 2009
  • Purpose: Morel - Lavallee lesions is post - traumatic effusion at subcutaneous layer. Early management of Morel - Lavallee lesion is percutaneous drainage and compression. Surgical excision is recommended for cases that are chronic. Method: 41 - year old male patient had slow growing, painful mass on left thigh, which has been present for 3 years. He had a history of blunt trauma 3 years ago. Computed tomography presented $10{\times}10{\times}5cm$ sized cystic mass on left thigh, between subcutaneous fat layer and muscle fascia layer. The mass was surgically removed and biopsy was performed. Result: Histopathological examination shows chronic inflammation and fibrotic change. After 6 month follow - up period, postoperative course was uneventful. Conclusion: We performed surgical excision of Morel - Lavalle lesion in a patient who had trauma 3 years ago. We report a case of Morel - Lavallee lesion with the review of the literatures.

Hemorrhagic Shock in a Patient with a Morel-Lavallée Lesion Combined with Active Arterial Bleeding without Fracture

  • Lim, Eic Ju;Oh, Jong-Keon;Cho, Jae-Woo;Sakong, Seungyeob;Cho, Jun-Min
    • Journal of Trauma and Injury
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    • v.34 no.1
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    • pp.61-65
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    • 2021
  • A Morel-Lavallée lesion is a closed degloving injury caused by traumatic separation of the skin and subcutaneous tissue from the underlying fascia. However, since physicians tend to focus on treating the bone fracture, hemodynamic instability accompanying a Morel-Lavallée lesion can sometimes be overlooked. We report the case of a hemodynamically unstable 73-year-old man who had a Morel-Lavallée lesion of the thigh, but no femur fracture. Angiography showed active bleeding from the muscular branch of the right deep femoral artery, which was then successfully embolized.

Posttraumatic bilateral thigh Morel-Lavallée lesions without an underlying bone fracture in the United Kingdom: a case report

  • Sarah Razaq;James Geffner;Asma Khan;Harry Mee;Cynthia Udensi;Fahim Anwar
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.269-275
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    • 2023
  • A Morel-Lavallée lesion results from a degloving injury between the muscle fascia and the subcutaneous layer. It is most commonly found in the trochanteric area but can occur at other sites. The treatment of the condition varies according to the medical circumstances, as well as the size and chronicity of the condition. A case of large (18×6 and 10×5 cm) bilateral posttraumatic Morel-Lavallée lesions with no underlying bone fracture is presented; the case occurred in a 49-year-old male patient 4 weeks posttrauma. Ultrasound scans showed bilateral large collections of anechoic fluid, which were aspirated under ultrasound guidance and further managed by compression bandages. There were no further complications. The objective of this case report is to present this unique and educational case, as well as to provide an overview of the pathophysiology, diagnosis, and management of Morel-Lavallée lesions. We conclude by discussing the importance of having a high index of suspicion to ensure early detection and prompt treatment of such lesions to avoid complications.

Limited Incisional Drainage and Negative-Pressure Wound Therapy in an Acute Morel-Lavallée Lesion

  • Choi, Eui-Sung;Yang, Jae-Young;Ahn, Byung-Hyun
    • Journal of Trauma and Injury
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    • v.34 no.1
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    • pp.75-78
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    • 2021
  • A Morel-Lavallée lesion is a post-traumatic closed degloving soft tissue injury after blunt trauma. Infection and skin necrosis frequently occur if it is not treated properly in the early stages. However, there is no clearly established treatment algorithm. In the acute stage, it is mainly treated with aspiration, simple compression, and incisional drainage. In the chronic stage, sclerotherapy is usually performed. If skin necrosis develops, the necrotic tissue is resected and a skin graft is needed. We describe a case of acute Morel-Lavallée lesion in the buttock region that was treated with limited incisional drainage and negative-pressure wound therapy, and also present a review of the literature.

A study on the change of turbulence structure in a diffuser (확대관의 난류구조 변동에 관한 연구)

  • Lee, Jang-Hwan;Han,Yong-Un
    • Transactions of the Korean Society of Mechanical Engineers B
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    • v.21 no.4
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    • pp.503-508
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    • 1997
  • The change of the structure of homogeneous turbulence subject to irrotational strains has been studied in an anti-Morel type diffuser (center matched cubic contour) using the hot wire anemometry. It was observed that the profiles of mean velocities and turbulence velocities along the center line were stable at the entrance region but rapidly changed near the matching point. The wall induced turbulence at the entrance region grows fast and was diffused toward the center at downstream. It was also observed that the axial turbulence grows faster than the radial one in the middle region of the diffusing flow and that the diffusing process has the vortex compression mechanism due to the conservation of angular momentum. These phenomena are frequently observed at the initial flow region of the free jet.

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;Jayun Cho;Myung Jin Jang;Kang Kook Choi
    • Journal of Trauma and Injury
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    • v.36 no.3
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    • pp.304-309
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    • 2023
  • 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.

Morgagni-Stewart-Morel syndrome presenting with neurological symptoms: a case report

  • Bunyamin Tosunoglu;Nazlican Ergin;Nilay Kaya;Levent Ertugrul Inan
    • Journal of Yeungnam Medical Science
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    • v.40 no.3
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    • pp.308-310
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    • 2023
  • Morgagni-Stewart-Morel (MSM) syndrome is characterized by the thickening of the frontal bone of the skull (hyperostosis frontalis internal), obesity, neurological symptoms, and hypertrichosis. We present the case of a 76-year-old patient who complained of confusion, extreme irritability, and headache and was diagnosed with MSM based on examination, imaging, and test results.

Chemical Composition of Aromas and Lipophilic Extracts from Black Morel (Morchella importuna) Grown in China

  • Tu, Xiaoman;Tang, Lan;Xie, Guangbo;Deng, Kejun;Xie, Liyuan
    • Mycobiology
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    • v.49 no.1
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    • pp.78-85
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    • 2021
  • Morels (Morchella spp.) are valuable medicinal and edible mushrooms. In this study, chemical profiles of aromas and lipophilic extracts of black morel (Morchella importuna) grown in China were analyzed by gas chromatography/mass spectroscopy, along with the evaluation of antioxidant and antimicrobial activities for the lipophilic extracts. Sixty-five compounds in total were identified from the aromas, and 1-octen-3-ol was the main component for aromas of fresh (34.40%) and freeze-dried (68.61%) black morels, while the most abundant compound for the aroma of the oven-dried sample was 2(5H)-furanone (13.95%). From the lipophilic extracts, 29 compounds were identified with linoleic acid as the main compound for fresh (77.37%) and freeze-dried (56.46%) black morels and steroids (92.41%) as the main constituent for an oven-dried sample. All three lipophilic extracts showed moderate antioxidant activities against 2,2-diphenyl-1-picrylhydrazyl and 2,2'-azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) with the IC50 values ranging 7.56~17.52 mg/mL and 5.75~9.73 mg/mL, respectively, and no obvious antimicrobial activity was observed for lipophilic extracts. The drying methods affect the chemical profile of black morel, and freeze-drying was favorable for retaining nutrients and morel smell. This is the first report on the aroma and lipophilic extracts of M. importuna grown in China.

Numerical Analysis on the Internal Flow Field Characteristics of Wind Tunnel Contractions with Morel's Equation (모렐 식을 갖는 풍동수축부의 내부유동장 특성에 대한 수치해석)

  • Kim, Jang-Kweon;Oh, Seok-Hyung
    • Journal of Power System Engineering
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    • v.22 no.1
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    • pp.11-17
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    • 2018
  • The steady-state, incompressible and three-dimensional numerical analysis was carried out to evaluate the internal flow fields characteristics of wind tunnel contractions made by Morel's curve equations. The turbulence model used in this study is a realizable ${\kappa}-{\varepsilon}$ well known to be excellent for predicting the performance of the flow separation and recirculation flow as well as the boundary layer with rotation and strong back pressure gradient. As a results, when the flow passes through the interior space of the analytical models, the flow resistance at the inlet of the plenum chamber is the largest at $Z_m=300$, 400 mm, but the smallest at $Z_m=700mm$. The maximum turbulence intensity in the test section is about 2.5% when calculated by the homogeneous flow, so it is improved by about 75% compared to the 10% turbulence intensity at the inlet of the plenum chamber due to the contraction.

Class Struggles in Sons and Lovers

  • Kim, Tag-Jung
    • English Language & Literature Teaching
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    • v.8 no.2
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    • pp.39-54
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    • 2003
  • This paper looks into the ideological discourse embedded in D. H. Lawrence's Sons and Lovers. Sons and Lovers is an autobiographical novel which necessarily carries the author's own experiences. For this reason, it reflects the social and historical background upon which the narrative is displayed. Sons and Lovers is full of the historical characteristics of the late-nineteenth- and early-twentieth-century England. This essay closely reads the class struggles of the time in Sons and Lovers. In most of Lawrence's novels, the class struggles appear in the form of the marriage of two people from different classes. In Sons and Lovers, the hegemonic conflicts between Walter Morel and Gertrude Morel clearly show the class struggles of the time. Also, this paper disentangles the complicated stories of William and Paul and shows the general tragedy of English young men of the time. In the end, it will show that Sons and Lovers is a fully loaded ideological discourse.

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