Gözden Kaçabilen Bir Posttravmatik Lezyon: Morel Lavallee

Year 2020, Volume: 5 Issue: 3, 541 - 547, 30.09.2020

Nilüfer Aylanç , Mustafa Akyürek , Şenay Bengin Ertem

https://doi.org/10.26453/otjhs.684431

Abstract

Morel-Lavallee lezyon, travma sonrası ortaya çıkan ve kas -iskelet sisteminde nadir görülen bir yumuşak doku lezyonudur. Olgular travma sonrası genellikle geç dönemde lezyon alanında ele gelen kitle ve bazen de ağrı şikayetleri ile kliniğe başvururlar. Bunun dışında travma sonrası farklı nedenlerle yapılan görüntülemeler sırasında rastlantısal olarak da lezyonlar saptanabilir. Radyolojik tanıda ultrasonografi ve manyetik rezonans görüntüleme öncelikle tercih edilir. Bu vaka sunumunda amacımız, nadir de olsa görülebilen bu posttravmatik lezyonların, travma öyküsü olup ağrı ve ele gelen kitle ile gelen olgularda, süreç kronik de olsa MLL’nin akılda tutulması ve ayırıcı tanıda mutlaka düşünülmesi gerektiğine dikkat çekmektir.

Keywords

Morel-Lavallee lezyon, travma, ultrasonograf, manyetik rezonans görüntüleme

Supporting Institution

yok

An Overlooked Posttraumatic Lesion: Morel Lavallee

Abstract

Morel-Lavallee is a soft tissue lesion that occurs after trauma and is seen almost rare. The patients usually refer to the clinic with a palpable mass. In addition, lesions can be detected incidentally during imaging tests performed for different reasons after trauma. While examining the soft tissue lesions of the musculoskeletal system, especially in cases with a history of trauma, the Morel-Lavallee lesion should also be thought, and ultrasonography and magnetic resonance imaging methods that have superiority in soft tissue imaging should be used. In this case report, we aim to attract attention to the fact that MLL, which can be seen rarely, should be kept in mind in cases with pain, palpable mass and a trauma history, even if the process is chronic.

Keywords

Morel-Lavallee lesion, trauma, ultrasonography, magnetic resonance imaging

References

• Diviti S, Gupta N, Hooda K, Sharma K, Lo L. Morel-Lavallee Lesions-Review of Pathophysiology, Clinical Findings,Imaging Findings and Management. Journal of Clinical and Diagnostic Research. 2017;11(4)
• Bonilla-Yoon I, Masih S, Patel DB, White EA, Levine BD, Chow K, et al. The Morel-Lavallée lesion: Pathophysiology, clinical presentation, imaging features, and treatment options. Emerg Radiol. 2014;21(1):35–43.
• McLean K, Popovic S. Morel-Lavallée Lesion: AIRP Best Cases in Radiologic-Pathologic Correlation. Radiographics. 2017;37(1):190- 196.
• Gosain AK, Yan JG, Aydin MA, Das DK, Sanger JR. The vascular supply of the extended tensor fasciae latae flap: how far can the skin paddle extend? Plast Reconstr Surg. 2002;110: 1655-1661.
• Mellado JM, Pérez del Palomar L, Díaz L, Ramos A, Saurí A. Long-standing Morel-Lavallée lesions of the trochanteric region and proximal thigh: MRI features in five patients. AJR Am J Roentgenol. 2004;182: 1289-1294.
• Mellado JM, Bencardino JT. Morel-Lavellee lesion: Review with emphasis on MR imaging. Magn Reson Imaging Clin N Am. 2005;13 (4):775–82.
• Kumar Y, Wadhwa V, Phillips L, Pezeshk P, Chhabra A. MR imaging of skeletal muscle signal alterations: Systematic approach to evaluation. Eur J Radiol. 2016;85(5):922–35.
• Kumar Y, Khaleel M, Boothe E, Awdeh H, Wadhwa V, Chhabra A. Role of [11] diffusion weighted imaging in musculoskeletal infections: Current perspectives. Eur Radiol. 2017;27 (1):414-23.
• Christian D, Leland HA, Osias W, Eberlin S, Howell L. Delayed presentation of a chronic Morel-Lavallée lesion. Radiology Cas.e 2016;10(7):30-39.
• Kumar S, Hasan R, Kadavigere R, Maddukuri SB, Puppala R. Morel-Lavallee Lesion (MLL) Mimicking a soft tissue neoplasm. J Clin Diagn Res. 2015;9(4):01- 02.
• Tejwani SG, Cohen SB, Bradley JP. Management of Morel-Lavallee lesion of the knee: Twenty-seven cases in the national football league. Am J Sports Med. 2007;35(7):1162–67.
• Tseng S, Tornetta P 3rd. Percutaneous management of Morel-Lavallee lesions. J Bone Jt Surg Am. 2006;88(1):92–96.
• 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(1):65–67.