Subscribe to RSS

DOI: 10.5935/2177-1235.2024RBCP0944-PT
Morel-Lavallée Syndrome: Report of a case successfully treated in a secondary hospital
Article in several languages: português | English
▪ ABSTRACT
The Morel-Lavallée injury is described as a soft tissue injury secondary to trauma with the shearing of the skin and subcutaneous cellular tissue against the muscular fascia without loss of skin continuity. The diagnosis is confirmed with the aid of imaging exams, with magnetic resonance imaging being the most specific exam. Treatment is multimodal, depending on a variety of surgical techniques, antibiotics, and resuscitation and supportive measures. A 36-year-old man, victim of multiple traumas, developed a complex injury to the lower limb and sepsis, requiring varied surgical approaches and clinical supportive treatment. We evaluate the importance of the various strategies employed, timing, and impact on patient outcomes. We conclude that the management of Morel-Lavallée syndrome is complex but can be performed in a secondary hospital.
Keywords:
Multiple trauma - Soft tissue injuries - Plastic surgery procedures - Degloving injuries - Skin transplantationInstitution: Hospital São Luiz Gonzaga, São Paulo, SP, Brazil.
Publication History
Received: 16 March 2024
Accepted: 27 July 2024
Article published online:
22 May 2025
© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)
Thieme Revinter Publicações Ltda.
Rua do Matoso 170, Rio de Janeiro, RJ, CEP 20270-135, Brazil
BRUNO LOSI ZACHARIAS, GIACOMO MARTINS MENEGAZZO, PEDRO CHIARAMELLI, TIAGO HENRIQUE COSTA, VINÍCIUS ALVES DE ANDRADE, LUIZ GUILHERME NAGY DE MELO. Síndrome de Morel-Lavallée: Relato de caso tratado com sucesso em hospital secundário. Revista Brasileira de Cirurgia Plástica (RBCP) – Brazilian Journal of Plastic Surgery 2024; 39: 217712352024rbcp0944pt.
DOI: 10.5935/2177-1235.2024RBCP0944-PT
-
REFERÊNCIAS
- 1 Palacio EP, Stasi GGD, Lima EHRT, Mizobuchi RR, Durigam Júnior A, Galbiatti JA. Resultados do tratamento cirúrgico da lesão de Morel-Lavallée. Rev Bras Ortop 2015; 50 (02) 148-152
- 2 Dodwad SN, Niedermeier SR, Yu E, Ferguson TA, Klineberg EO, Khan SN. The Morel-Lavallée lesion revisited: management in spinopelvic dissociation. Spine J 2015; 15 (06) e45-51
- 3 Nickerson TP, Zielinski MD, Jenkins DH, Schiller HJ. The Mayo Clinic experience with Morel-Lavallée lesions: establishment of a practice management guideline. J Trauma Acute Care Surg 2014; 76 (02) 493-497
- 4 van Gennip S, van Bokhoven SC, van den Eede E. Pain at the knee: the Morel-Lavallée lesion, a case series. Clin J Sport Med 2012; 22 (02) 163-166
- 5 Singh R, Rymer B, Youssef B, Lim J. The Morel-Lavallée lesion and its management: A review of the literature. J Orthop 2018; 15 (04) 917-921
- 6 Greenhill D, Haydel C, Rehman S. Management of the Morel-Lavallée Lesion. Orthop Clin North Am 2016; 47 (01) 115-125
- 7 Camargo PAB, Bertanha M, Moura R, Jaldin RG, Yoshida RA, Pimenta REF. et al. Uso de curativo a vácuo como terapia adjuvante na cicatrização de sítio cirúrgico infectado. J Vasc Bras 2016; 15 (04) 312-316
- 8 Nakajima T, Tada K, Nakada M, Matsuta M, Tsuchiya H. Two Cases of Morel-Lavallée Lesion Which Resulted in a Wide Skin Necrosis from a Small Laceration. Case Rep Orthop 2020; 2020: 5292937-5292937
- 9 Monte ALR. Tratamento das lesões por desenluvamento cutâneo traumático. Rev Bras Cir Plást 2012; 27 (3 Suppl.1): 89-89
- 10 Badjate DM, Jain D, Phansopkar P, Wadhokar OC. A Physical Therapy Rehabilitative Approach in Improving Activities of Daily Living in a Patient With Morel-Lavallée Syndrome: A Case Report. Cureus 2022; 14 (09) e29523-e29523