Morel-Lavallee Lezyonunun Adli Travmatolojik Değerlendirilmesi: Bir Olgu Sunumu

Year 2022, Volume: 44 Issue: 4, 587 - 592, 19.07.2022

Arif Garbioğlu Tuğrul Kılıboz Beycan Doğan Kenan Karbeyaz

Abstract

Morel-Lavallee lezyonu, travma sonrası subkutan dokunun altındaki fasyadan ayrıldığı bir yumuşak doku yaralanmasıdır. Kapalı degloving yaralanmaları nadir görülmekle birlikte birden fazla cerrahi müdahale gerektiren komplikasyonlara neden olabilmektedir. Morel-Lavalle yaralanmaları hastanın yaşam kalitesini etkileyen ağrı, hassasiyet ve şişlik gibi kronik semptomlara yol açabilmektedir. 2019 yılında üzerinden kamyon geçen 54 yaşında erkek olgunun olay tarihli muayenesinde lomber bölgede ve sağ femurda hassasiyet, sağ femurda hematom ve çap artışı olduğu görülmüştür. Olay tarihinden 3 gün sonra yapılan muayenesinde sağ lomber bölgeden dize kadar ve sol glutea distaline kadar cilt altı sıvı birikimi olduğu tespit edilmiş ve insizyonla aspire edilmiştir. Maluliyet değerlendirilmesi amacıyla 2020 yılında polikliniğe başvuran olgunun bilateral uylukta şişlik, ağrı ve yürürken aksama şikayetleri olduğu, yapılan muayenesinde kaza ile illiyetli olduğu değerlendirilen sekel değişiklikler saptanmış ve ilgili yönetmelik hükümleri kapsamında engel oranı belirlenmiştir. Adli tıp pratiğinde nadir karşılaşılabilecek bu tür bir olgunun literatür eşliğinde tartışılmasının adli tıp uygulamalarına katkı sağlayacağı düşünülmektedir.

Keywords

Morel-Lavallee lezyonu, degloving yaralanma, adli tıp, engellilik

Thanks

Makalenin eleştirel incelenmesinde fikirleriyle destek veren Uzm. Dr. Harun Akkaya’ya teşekkür ederiz.

Forensic Traumatological Evaluation of Morel-Lavallee Lesion: A Case Report

Abstract

Morel Lavallee lesion is a post-traumatic soft tissue injury that subcutaneous tissue to seperate from the underlying fascia. Although closed degloving injuries are uncommon, they can cause complications requiring multiple surgical interventions. These injuries can lead to chronic symptoms, such as pain, sensibility and swelling, affecting the patient’s quality of life. In the even date examination of a 54-year-old male who was run over by a truck in 2019, it was observed that there was tenderness in the lumbar region and right femur, hematoma and an increase in diameter in the right femur. In the examination performed 3 days after the traffic accident, it was determined that there was a subcutaneous fluid accumulation from the right lumbar region to the knee and up to the distal left glutea, and it was aspirated with an incision. The case who applied to the outpatient clinic in 2020 for disability evaluation had complaints of swelling in both thighs, pain and limpness in walking, sequelae changes that were considered to be related to the accident were determined in the examination, and his disability rate was performed within the context of relevant guideline. It is thought that discussing such a rare case in forensic medicine practice in the light of literature will contribute to forensic medicine practices.

Keywords

Morel-Lavallee lesion, degloving injury, forensic medicine, impairment

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