Jung Su Lee, Oh Young Kwon, Jong Soon Kim, Young Hun Jung
{"title":"Recurrent Post-traumatic Morel-Lavallée Lesion of the Hip and Thigh Treated With Open Capsulectomy and Povidone-Iodine Sclerotherapy: A Case Report.","authors":"Jung Su Lee, Oh Young Kwon, Jong Soon Kim, Young Hun Jung","doi":"10.7759/cureus.86385","DOIUrl":null,"url":null,"abstract":"<p><p>Morel-Lavallée lesions (MLLs) are closed internal degloving injuries that may lead to persistent post-traumatic fluid collections. We report the case of a 65-year-old male patient with a recurrent MLL over the left hip and thigh following a fall. Initial management with aspiration and corticosteroid injection was unsuccessful, and open capsulectomy also failed to prevent recurrence. Due to the unavailability of conventional sclerosing agents, ultrasound-guided sclerotherapy using 10% povidone-iodine was performed. After two sessions, there was a marked reduction in the size of the lesion without complications. This case suggests that povidone-iodine may serve as a viable alternative sclerosant for recurrent MLLs when standard agents are inaccessible.</p>","PeriodicalId":93960,"journal":{"name":"Cureus","volume":"17 6","pages":"e86385"},"PeriodicalIF":1.3000,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12178838/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cureus","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.7759/cureus.86385","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/6/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, GENERAL & INTERNAL","Score":null,"Total":0}
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Abstract
Morel-Lavallée lesions (MLLs) are closed internal degloving injuries that may lead to persistent post-traumatic fluid collections. We report the case of a 65-year-old male patient with a recurrent MLL over the left hip and thigh following a fall. Initial management with aspiration and corticosteroid injection was unsuccessful, and open capsulectomy also failed to prevent recurrence. Due to the unavailability of conventional sclerosing agents, ultrasound-guided sclerotherapy using 10% povidone-iodine was performed. After two sessions, there was a marked reduction in the size of the lesion without complications. This case suggests that povidone-iodine may serve as a viable alternative sclerosant for recurrent MLLs when standard agents are inaccessible.
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